| NPI | 1568542108 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NV 12232) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 220226) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NY 220226) | |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2024-02-29 |