| NPI | 1437131042 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NY 185398) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: SD 4229) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: PA MD463488) | |
| Enumeration Date | 2005-11-18 |
| Last Update Date | 2022-12-15 |