| NPI | 1811904089 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: IN 01085263A) |
| Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: NY 234972) |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2025-03-14 |