NPI | 1306895370 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0003X Internal Medicine Hematology & Oncology (Licence: NY 170527) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 1705271) |
Enumeration Date | 2006-05-08 |
Last Update Date | 2021-04-28 |