| NPI | 1700012770 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NY 237353) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A109319) |
| Enumeration Date | 2009-06-04 |
| Last Update Date | 2021-12-13 |