| NPI | 1740256809 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: NY 140383-1) |
| Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: PA MD423962) |
| Enumeration Date | 2006-02-27 |
| Last Update Date | 2011-12-29 |