NPI | 1124227889 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0003X Internal Medicine Hematology & Oncology (Licence: NY 257336) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 257336) |
Enumeration Date | 2007-07-13 |
Last Update Date | 2019-07-01 |