NPI | 1144283458 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NY 159085) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 159085) |
Enumeration Date | 2006-04-08 |
Last Update Date | 2013-01-17 |