NPI | 1588869374 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NY 266181) |
Additional Taxonomies | 282N00000X General Acute Care Hospital (Licence: NY 003427) |
Enumeration Date | 2007-06-20 |
Last Update Date | 2022-11-21 |