| NPI | 1669593000 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NY 726324) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA L-224506) |
| 207R00000X Internal Medicine (Licence: NY 247263) | |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2011-07-19 |