| NPI | 1811239759 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: NY 340406) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D0081475) |
| 208M00000X Hospitalist (Licence: MD D0081475) | |
| Enumeration Date | 2013-03-18 |
| Last Update Date | 2025-11-13 |