NPI | 1750309761 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0000X Internal Medicine, Hematology (Licence: NY 125523) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 125523) |
Enumeration Date | 2006-07-17 |
Last Update Date | 2007-10-22 |