| NPI | 1497767974 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: NY 161928-1) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 161928-1) |
| 207RH0000X Internal Medicine, Hematology (Licence: NY 161928-1) | |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: NY 161928-1) | |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NY 161928-1) | |
| Enumeration Date | 2006-08-12 |
| Last Update Date | 2016-08-30 |