| NPI | 1437425469 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: NY 278929) |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: NY 278929) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 278929) | |
| Enumeration Date | 2012-03-23 |
| Last Update Date | 2023-07-07 |