| NPI | 1053362970 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 173108) |
| Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: NY 173108) |
| Enumeration Date | 2006-05-15 |
| Last Update Date | 2011-12-30 |