| NPI | 1700825171 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0000X Internal Medicine, Hematology (Licence: NY 261841) |
| Additional Taxonomies | 207RH0000X Internal Medicine, Hematology (Licence: CA A36194) |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2011-08-04 |