NPI | 1760495048 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NY 106681) |
Additional Taxonomies | 174400000X Specialist (Licence: NY 106681) |
207R00000X Internal Medicine (Licence: NY 106681) | |
Enumeration Date | 2006-08-15 |
Last Update Date | 2025-05-30 |