| NPI | 1407390172 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: CA A207360) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA10626100) |
| 207R00000X Internal Medicine (Licence: GA 100472) | |
| Enumeration Date | 2016-12-14 |
| Last Update Date | 2026-05-07 |