| NPI | 1073833984 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NY 288662) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: GA 97636) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NJ 25MA10729100) | |
| Enumeration Date | 2010-06-03 |
| Last Update Date | 2023-11-04 |