| NPI | 1114964145 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 172834-1) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NY 172834-1) |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2007-07-16 |