| NPI | 1538193446 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NY 260812) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: CA a83021) |
| 207R00000X Internal Medicine (Licence: CA A83021) | |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2011-05-25 |