| NPI | 1598132573 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: MD D0099226) | 
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NY 299630) | 
| Enumeration Date | 2015-08-26 | 
| Last Update Date | 2025-01-10 |