| NPI | 1396893392 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: NY 140772-1) |
| Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: CT 018173) |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2007-07-08 |