| NPI | 1760495048 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NY 106681) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 106681) |
| 207R00000X Internal Medicine (Licence: NY 106681) | |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2025-05-30 |