| NPI | 1104840495 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RH0000X Internal Medicine, Hematology (Licence: NY 143135) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 143135) |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2022-07-21 |