| NPI | 1699208074 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NJ 25MA11754600) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 315346) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: NY 592275383) | |
| Enumeration Date | 2017-04-04 |
| Last Update Date | 2023-08-14 |