| NPI | 1679559652 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0000X Internal Medicine, Hematology (Licence: NY 249338) |
| Additional Taxonomies | 207RH0000X Internal Medicine, Hematology (Licence: MA 36584) |
| Enumeration Date | 2005-12-21 |
| Last Update Date | 2008-10-23 |