| NPI | 1972926871 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: FL ME147425) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NY 280052) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MD D0048409) | |
| Enumeration Date | 2014-01-28 |
| Last Update Date | 2020-11-02 |