| NPI | 1023428273 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NJ 25MA11020800) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 290269) |
| 207R00000X Internal Medicine (Licence: RI MD16309) | |
| 207R00000X Internal Medicine (Licence: NJ 25MA11020800) | |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NY 290269) | |
| Enumeration Date | 2014-04-28 |
| Last Update Date | 2024-04-04 |