| NPI | 1740643956 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RH0000X Internal Medicine, Hematology (Licence: NY 290904) |
| Additional Taxonomies | 207RH0000X Internal Medicine, Hematology (Licence: NY 00000000) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: IL 036106601) | |
| Enumeration Date | 2016-04-04 |
| Last Update Date | 2023-02-14 |