| NPI | 1104449016 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine Medical Oncology (Licence: NY 321763) |
| Additional Taxonomies | 207RH0000X Internal Medicine Hematology (Licence: NY 321763) |
| Enumeration Date | 2020-05-26 |
| Last Update Date | 2025-07-14 |