| NPI | 1346276326 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MD D82526)  | 
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NY 240367)  | 
| Enumeration Date | 2006-06-23 | 
| Last Update Date | 2019-01-10 |