| NPI | 1063575447 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NY 260542) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD429895) |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2023-07-06 |