| NPI | 1538197975 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NY 240770) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 240770) |
| 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: NY 240770) | |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2021-11-22 |