NPI | 1346299781 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NY 179461-1) |
Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NY 179461) |
207RH0003X Internal Medicine, Hematology & Oncology (Licence: PA MD433831) | |
Enumeration Date | 2006-05-10 |
Last Update Date | 2016-12-16 |