| NPI | 1215467097 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NY 322573) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 280657) |
| 207R00000X Internal Medicine (Licence: MA 271265) | |
| Enumeration Date | 2017-06-14 |
| Last Update Date | 2023-04-30 |