| NPI | 1750352787 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NY 212755) |
| Additional Taxonomies | 207RH0000X Internal Medicine, Hematology (Licence: MA 59940) |
| Enumeration Date | 2006-01-28 |
| Last Update Date | 2013-03-19 |