| NPI | 1366768541 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: CA A139907) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 268932) |
| Enumeration Date | 2010-04-13 |
| Last Update Date | 2021-12-21 |