| NPI | 1164713780 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 161019) |
| Additional Taxonomies | 207RH0003X Internal Medicine Hematology & Oncology (Licence: NY 161019) |
| Enumeration Date | 2011-04-30 |
| Last Update Date | 2011-04-30 |