| NPI | 1619916566 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: NY 334532) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA078710) |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: NJ 25MA078710) | |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2025-03-12 |