| NPI | 1699336701 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NC 2025-02638) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 320717) |
| Enumeration Date | 2019-06-28 |
| Last Update Date | 2025-07-29 |