| NPI | 1992813828 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine Hematology & Oncology (Licence: NY 249101) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 249101) |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2023-01-24 |