| NPI | 1588825962 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NY 308153) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT188036) |
| 207R00000X Internal Medicine (Licence: NY 308153) | |
| 207RH0000X Internal Medicine, Hematology (Licence: NY 308153) | |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: TX P8144) | |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: NY 308153) | |
| 207ZH0000X Pathology, Hematology (Licence: NY 308153) | |
| Enumeration Date | 2008-06-19 |
| Last Update Date | 2022-12-08 |