| NPI | 1831151695 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: FL ME128109) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NY 247299) |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: NY 247299) | |
| Enumeration Date | 2006-04-05 |
| Last Update Date | 2016-07-07 |