| NPI | 1528488517 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MD D0104408) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 291802) |
| 208M00000X Hospitalist (Licence: NY 291802) | |
| 207R00000X Internal Medicine (Licence: NY 291802) | |
| Enumeration Date | 2014-04-17 |
| Last Update Date | 2025-10-24 |