| NPI | 1396794921 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NY 229213) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 229213) |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2026-05-28 |