NPI | 1134440472 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NY 2687721-1) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA L-244143) |
Enumeration Date | 2010-06-22 |
Last Update Date | 2016-05-06 |