| NPI | 1619105111 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0000X Internal Medicine Hematology (Licence: NY 269268) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 269268) |
| 207RH0003X Internal Medicine Hematology & Oncology (Licence: NY 269268) | |
| Enumeration Date | 2009-06-23 |
| Last Update Date | 2017-06-27 |