| NPI | 1851362883 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: CT 46499) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 212002) |
| Enumeration Date | 2006-01-28 |
| Last Update Date | 2021-10-19 |