| NPI | 1821016833 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0000X Internal Medicine Hematology (Licence: NY 224820) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 224820) |
| 207RX0202X Internal Medicine Medical Oncology (Licence: NY 224820) | |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2007-10-22 |