NPI | 1134410277 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NY 320992) |
Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: RI MD15682) |
Enumeration Date | 2011-04-24 |
Last Update Date | 2023-04-25 |