| NPI | 1093703654 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NY 199084) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 199084) |
| Enumeration Date | 2005-10-07 |
| Last Update Date | 2018-09-27 |