NPI | 1083819528 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: CT 053058) |
Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: CT 053058) |
208M00000X Hospitalist (Licence: NY 002864-1) | |
207RH0000X Internal Medicine, Hematology (Licence: CT 053058) | |
Enumeration Date | 2007-06-15 |
Last Update Date | 2014-09-18 |