| NPI | 1225095581 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: CT 79833) |
| Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: NY 255056) |
| Enumeration Date | 2006-04-28 |
| Last Update Date | 2024-12-11 |