| NPI | 1477555761 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine Medical Oncology (Licence: NH EL11277) |
| Additional Taxonomies | 207RH0003X Internal Medicine Hematology & Oncology (Licence: NY 210263) |
| Enumeration Date | 2005-06-01 |
| Last Update Date | 2023-03-13 |