NPI | 1013448125 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: CA A185296) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 304667) |
207RH0003X Internal Medicine, Hematology & Oncology (Licence: NY 304667) | |
Enumeration Date | 2017-03-21 |
Last Update Date | 2024-01-17 |