| 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 |