| NPI | 1306895370 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NY 170527) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 1705271) |
| Enumeration Date | 2006-05-08 |
| Last Update Date | 2021-04-28 |