NPI | 1568659431 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0000X Internal Medicine, Hematology (Licence: NY 278144) |
Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: PA MT191315) |
207RH0003X Internal Medicine, Hematology & Oncology (Licence: PA MD433638) | |
207R00000X Internal Medicine (Licence: NY 278144) | |
Enumeration Date | 2007-09-25 |
Last Update Date | 2016-06-14 |