| NPI | 1679791818 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: FL ME133940) |
| Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: NY 241928) |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2018-03-17 |