| NPI | 1942253414 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NY 228150) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: CT 043935) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: PA MD430769) | |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2012-08-15 |