| NPI | 1629095153 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: NY 189764) |
| Additional Taxonomies | 174400000X Specialist (Licence: PA MD041250E) |
| 207R00000X Internal Medicine (Licence: NY 189764) | |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NY 189764) | |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: PA MD041250E) | |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: OH 35-094163) | |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2021-02-03 |