| NPI | 1114999083 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: NY 284329) |
| Additional Taxonomies | 174400000X Specialist (Licence: PA MD417845) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: WA MD00025531) | |
| Enumeration Date | 2006-02-06 |
| Last Update Date | 2021-02-17 |