| NPI | 1598143125 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine Medical Oncology (Licence: FL ME159619) |
| Additional Taxonomies | 207RH0003X Internal Medicine Hematology & Oncology (Licence: NY 293133) |
| Enumeration Date | 2015-05-15 |
| Last Update Date | 2023-04-04 |