| NPI | 1659502839 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 254364) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A112245) |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: CA A112245) | |
| Enumeration Date | 2009-08-05 |
| Last Update Date | 2015-03-03 |