| NPI | 1154484525 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NY 254253) |
| Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: NY 254253) |
| 174400000X Specialist (Licence: NY 0012321) | |
| 207R00000X Internal Medicine (Licence: NY 254253) | |
| 207RH0000X Internal Medicine, Hematology (Licence: NY 254253) | |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2023-06-15 |