| NPI | 1154340826 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NY 242266) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 242266) |
| 207R00000X Internal Medicine (Licence: CA A878947) | |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2018-07-11 |