| NPI | 1356796833 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: TX V1007) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 267379) |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: NY 303712) | |
| Enumeration Date | 2016-05-03 |
| Last Update Date | 2024-07-03 |