| NPI | 1821418211 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: NY 308618) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT205776) |
| Enumeration Date | 2014-04-24 |
| Last Update Date | 2021-12-01 |