| NPI | 1669876447 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NC 2020-02069) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 285941) |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: NC 2020-02069) | |
| Enumeration Date | 2014-10-22 |
| Last Update Date | 2021-08-27 |