| NPI | 1710122601 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: TN 54662) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MS 24798) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NY 003406) | |
| Enumeration Date | 2008-12-08 |
| Last Update Date | 2018-09-12 |