| NPI | 1740684646 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: FL ME156240) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 294372) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: VA 0101282265) | |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NY 294372) | |
| Enumeration Date | 2014-10-21 |
| Last Update Date | 2024-09-25 |