| NPI | 1629025408 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NY 200505) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301075596) |
| 208D00000X General Practice (Licence: MI 4301075596) | |
| 208M00000X Hospitalist (Licence: MI 4301075596) | |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2019-08-02 |