| NPI | 1861606717 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: FL ME139844) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT pending) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NY 003764) | |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2019-07-17 |