| NPI | 1285614438 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: NY 154127) |
| Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: NJ 67243) |
| Enumeration Date | 2006-01-21 |
| Last Update Date | 2021-03-29 |