| NPI | 1316212533 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: NY 293244) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 293244) |
| Enumeration Date | 2012-03-21 |
| Last Update Date | 2019-07-17 |