| NPI | 1285877209 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: CA A137025) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 264456) |
| Enumeration Date | 2009-04-07 |
| Last Update Date | 2020-11-12 |