| NPI | 1396030326 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: GA 78917) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 261854) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: AL 33413) | |
| Enumeration Date | 2011-06-17 |
| Last Update Date | 2023-10-23 |