| NPI | 1558724831 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: NY 315837) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NY 315837) |
| 207R00000X Internal Medicine (Licence: PA MT210484) | |
| 207R00000X Internal Medicine (Licence: TX S4454) | |
| 207RH0000X Internal Medicine, Hematology (Licence: NY 315837) | |
| Enumeration Date | 2016-04-03 |
| Last Update Date | 2023-03-24 |