| NPI | 1962528794 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RH0000X Internal Medicine, Hematology (Licence: NY 230949) |
| Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: NY 230949) |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2016-06-13 |