| 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 |