| NPI | 1316556681 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RH0000X Internal Medicine, Hematology (Licence: NY 341746) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 341746) |
| 207R00000X Internal Medicine (Licence: RI LP05035) | |
| Enumeration Date | 2020-07-23 |
| Last Update Date | 2026-05-06 |