| NPI | 1922291939 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NY 242242) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 242242) |
| Enumeration Date | 2007-08-22 |
| Last Update Date | 2018-09-20 |