| NPI | 1447494612 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RH0000X Internal Medicine, Hematology (Licence: OH 35.144786)  | 
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NY 240723)  | 
| Enumeration Date | 2009-05-01 | 
| Last Update Date | 2022-04-28 |