| NPI | 1710979612 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine Hematology & Oncology (Licence: NY 181948-1) |
| Additional Taxonomies | 207RH0003X Internal Medicine Hematology & Oncology (Licence: NY 181947-1) |
| Enumeration Date | 2005-08-17 |
| Last Update Date | 2009-05-12 |