| NPI | 1184004806 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0000X Internal Medicine, Hematology (Licence: NY 293913) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 264076) |
| Enumeration Date | 2015-06-08 |
| Last Update Date | 2021-06-08 |