| NPI | 1619203031 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: NY 287974) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 240521) |
| Enumeration Date | 2009-10-20 |
| Last Update Date | 2018-03-17 |