| NPI | 1891747655 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RH0000X Internal Medicine, Hematology (Licence: NY 092555) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 092555) |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2023-09-12 |