| NPI | 1982069951 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RH0000X Internal Medicine, Hematology (Licence: NY 286747) |
| Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: NY 286747) |
| Enumeration Date | 2015-12-17 |
| Last Update Date | 2020-05-28 |