| NPI | 1548722176 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: GA 113569) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 113569) |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: NY 327061-01) | |
| Enumeration Date | 2019-04-02 |
| Last Update Date | 2026-08-04 |