NPI | 1164681540 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RH0003X Internal Medicine Hematology & Oncology (Licence: NY 248977) |
Additional Taxonomies | 207RH0003X Internal Medicine Hematology & Oncology (Licence: NJ 25MA08275000) |
Enumeration Date | 2008-06-02 |
Last Update Date | 2019-09-03 |