| NPI | 1922067941 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NY 217791) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 217791) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: FL ME73813) | |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: KS 04-43368) | |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NJ 25MA07653800) | |
| Enumeration Date | 2006-03-20 |
| Last Update Date | 2024-05-13 |