| NPI | 1982928636 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NY 288491) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 258166) |
| 207RH0000X Internal Medicine, Hematology (Licence: NY 288491) | |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MA 258166) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MA 258166) | |
| Enumeration Date | 2010-03-24 |
| Last Update Date | 2023-06-29 |