| NPI | 1821212473 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: NY 281222) |
| Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: MD D0030110) |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2023-04-26 |