| NPI | 1902203482 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NY 343921) |
| Additional Taxonomies | 207RH0000X Internal Medicine, Hematology (Licence: MN 67094) |
| Enumeration Date | 2014-11-26 |
| Last Update Date | 2026-09-24 |