| NPI | 1619057247 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NY 123762) |
| Additional Taxonomies | 207RH0000X Internal Medicine, Hematology (Licence: NY 123762) |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2024-12-19 |