| NPI | 1790179745 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: NY 315947) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: CA A173703) |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: MI 4301508817) | |
| Enumeration Date | 2015-03-26 |
| Last Update Date | 2023-05-09 |