| NPI | 1689780785 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NY 09234) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 092394) |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: NY 092394) | |
| 246QH0000X Spec/Tech, Pathology, Hematology (Licence: NY 092394) | |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2015-06-15 |