| NPI | 1376758821 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine Medical Oncology (Licence: NY 247325) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125-047783) |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2011-10-19 |