| NPI | 1033430798 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NY 325217) |
| Additional Taxonomies | 207RH0000X Internal Medicine, Hematology (Licence: NJ 25IA12289400) |
| 207R00000X Internal Medicine (Licence: MO 2013023319) | |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: DE C1-0025844) | |
| Enumeration Date | 2010-06-17 |
| Last Update Date | 2025-10-13 |