| NPI | 1720378763 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: CA C181409) |
| Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: NY 271101) |
| Enumeration Date | 2011-04-11 |
| Last Update Date | 2023-02-21 |