| NPI | 1316269533 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: HI MD-24737) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: CO DR.0069618) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NY 279797) | |
| Enumeration Date | 2010-02-16 |
| Last Update Date | 2024-11-07 |