| NPI | 1184041139 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: NY 306086) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 306086) |
| 207RH0000X Internal Medicine, Hematology (Licence: NY 306086) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MA 260549) | |
| Enumeration Date | 2014-03-27 |
| Last Update Date | 2023-06-01 |