| NPI | 1225165681 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: TX R9594) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 253180) |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: NY 253180) | |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2019-02-07 |