| NPI | 1194168955 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: NY 283608) |
| Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: NJ 25MA10610200) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2013-04-11 |
| Last Update Date | 2022-08-04 |