| NPI | 1922267285 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: CO 0055418) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NY 236596) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: AK 6634) | |
| Enumeration Date | 2008-06-03 |
| Last Update Date | 2016-03-04 |