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 |