| NPI | 1467741306 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: FL 145836) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 267239) |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: NY 267239) | |
| Enumeration Date | 2011-03-31 |
| Last Update Date | 2021-09-21 |