| NPI | 1609211614 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine Medical Oncology (Licence: NY 309511) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WV 26260) |
| Enumeration Date | 2013-05-03 |
| Last Update Date | 2021-06-02 |