NPI | 1417193376 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NY 301563) |
Additional Taxonomies | 174400000X Specialist (Licence: MD D-48393) |
284300000X Special Hospital (Licence: MD D-48393) | |
Enumeration Date | 2008-12-24 |
Last Update Date | 2025-01-16 |