| NPI | 1710982731 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NY 277161) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: VA 0101281298) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MN 75658) | |
| Enumeration Date | 2005-06-16 |
| Last Update Date | 2025-04-25 |