NPI | 1770670861 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0000X Internal Medicine, Hematology (Licence: NY 2022741) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 2022741) |
207RX0202X Internal Medicine, Medical Oncology (Licence: NY 2022741) | |
Enumeration Date | 2006-10-09 |
Last Update Date | 2011-09-14 |