| NPI | 1073803425 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: MD D77947) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 270524-1) |
| Enumeration Date | 2011-04-19 |
| Last Update Date | 2022-07-21 |