| NPI | 1154305613 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RH0000X Internal Medicine, Hematology (Licence: NY 1213991) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 1213991) |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: NY 1213991) | |
| Enumeration Date | 2005-11-30 |
| Last Update Date | 2013-01-25 |