NPI | 1285635912 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NY 128385) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 128385) |
207RH0000X Internal Medicine, Hematology (Licence: NY 128385) | |
207RX0202X Internal Medicine, Medical Oncology (Licence: NY 128385) | |
Enumeration Date | 2005-08-03 |
Last Update Date | 2020-08-11 |