| NPI | 1497245211 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X (Licence: NY 316140) |
| Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: NY 316140) |
| Enumeration Date | 2018-05-16 |
| Last Update Date | 2025-10-20 |