| NPI | 1073996518 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: NY 337629) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: ME MD24077) |
| Enumeration Date | 2015-07-01 |
| Last Update Date | 2025-08-14 |