| NPI | 1760620082 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: NC 2014-00628) |
| Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: NY 283274) |
| Enumeration Date | 2009-01-23 |
| Last Update Date | 2023-04-06 |