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 |