| NPI | 1306834338 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: CA 144118) | 
| Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: NY 174662) | 
| 207RX0202X Internal Medicine, Medical Oncology (Licence: HI 15323) | |
| Enumeration Date | 2005-10-13 | 
| Last Update Date | 2016-12-12 |