| NPI | 1396159919 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: NY 274444) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NY 274444) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: PA MD460131) | |
| Enumeration Date | 2014-06-12 |
| Last Update Date | 2024-11-25 |