| NPI | 1982610515 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: CT 55846) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: CA G64602) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NY 151810) | |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2017-02-24 |