| NPI | 1285167080 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: AZ 010372) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 296420) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NY 296420) | |
| Enumeration Date | 2017-04-07 |
| Last Update Date | 2023-09-11 |