| NPI | 1760728893 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: NY 303353) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 57533) |
| 207R00000X Internal Medicine (Licence: NY 303353) | |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NY 303353) | |
| 208M00000X Hospitalist (Licence: MN 57533) | |
| Enumeration Date | 2012-12-18 |
| Last Update Date | 2023-02-24 |