| NPI | 1386812253 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine Hematology & Oncology (Licence: FL ME117262) |
| Additional Taxonomies | 207RH0003X Internal Medicine Hematology & Oncology (Licence: NY 244912) |
| Enumeration Date | 2008-02-13 |
| Last Update Date | 2018-06-28 |