NPI | 1124391727 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NY 307089) |
Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: CT 55671) |
207RX0202X Internal Medicine, Medical Oncology (Licence: NY 307089) | |
207R00000X Internal Medicine (Licence: NY 307089) | |
207RH0000X Internal Medicine, Hematology (Licence: NY 307089) | |
Enumeration Date | 2012-02-14 |
Last Update Date | 2024-05-30 |