| NPI | 1346484680 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RX0202X Internal Medicine Medical Oncology (Licence: NY 267364) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 267364) |
| 207RH0003X Internal Medicine Hematology & Oncology (Licence: NY 267364) | |
| Enumeration Date | 2009-04-30 |
| Last Update Date | 2023-02-24 |