| NPI | 1225011091 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NY 245520) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 211102) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MA 211102) | |
| Enumeration Date | 2005-11-25 |
| Last Update Date | 2019-02-13 |