| NPI | 1376776757 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: NY 272370) |
| Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: NY 272370) |
| Enumeration Date | 2009-09-01 |
| Last Update Date | 2013-11-19 |