| NPI | 1992880090 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NY 236468) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 205716-1) |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2025-08-19 |