| NPI | 1770800732 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine Medical Oncology (Licence: NY 271313-1) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 271313-1) |
| Enumeration Date | 2010-04-29 |
| Last Update Date | 2018-09-26 |