| NPI | 1609958313 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NY 184568-1) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 184568-1) |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2010-07-21 |