| NPI | 1538518832 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: CT 80492) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 80492) |
| 207R00000X Internal Medicine (Licence: NY 313345) | |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: CT 80492) | |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: NY 313345) | |
| Enumeration Date | 2016-06-07 |
| Last Update Date | 2025-04-30 |