| NPI | 1609808856 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NY 001999) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 001999) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: CA A105218) | |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2008-11-14 |