| NPI | 1316269533 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RH0003X Internal Medicine Hematology & Oncology (Licence: NY 279797) |
| Additional Taxonomies | 207RH0003X Internal Medicine Hematology & Oncology (Licence: CO DR.0069618) |
| Enumeration Date | 2010-02-16 |
| Last Update Date | 2022-09-27 |