| NPI | 1821531179 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: NY 326451) |
| Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: TX 46228) |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: NJ 25MA11984100) | |
| Enumeration Date | 2016-11-18 |
| Last Update Date | 2024-08-15 |