| NPI | 1255727392 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NY 310551) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2018-01097) |
| Enumeration Date | 2015-04-15 |
| Last Update Date | 2021-07-19 |