| NPI | 1275573644 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: NY 216136) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NY 216136) |
| 174400000X Specialist (Licence: NY 216136) | |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2025-10-24 |