| NPI | 1528356037 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RH0003X Internal Medicine Hematology & Oncology (Licence: NY 313378) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT200425) |
| 207R00000X Internal Medicine (Licence: NM MD2016-0827) | |
| 207RH0003X Internal Medicine Hematology & Oncology (Licence: NM MD2016-0827) | |
| Enumeration Date | 2011-07-18 |
| Last Update Date | 2023-01-12 |