| NPI | 1700921277 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NY 124097) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 124097) |
| 207KI0005X Allergy & Immunology, Clinical & Laboratory Immunology (Licence: NY 124097) | |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2018-11-07 |