| NPI | 1669765525 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine Medical Oncology (Licence: FL 127498) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL 127498) |
| 174400000X Specialist (Licence: FL 127498) | |
| 207RX0202X Internal Medicine Medical Oncology (Licence: FL ME127498) | |
| 207RH0003X Internal Medicine Hematology & Oncology (Licence: NY 273983-1) | |
| Enumeration Date | 2011-05-25 |
| Last Update Date | 2021-12-15 |