| NPI | 1639706310 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 324209-01) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MA 1025702) |
| 207R00000X Internal Medicine (Licence: MA 285999) | |
| Enumeration Date | 2020-03-24 |
| Last Update Date | 2026-03-18 |