| NPI | 1013448125 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: CA A185296) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 304667) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NY 304667) | |
| Enumeration Date | 2017-03-21 |
| Last Update Date | 2024-01-17 |