| NPI | 1871673350 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: CA G89157) |
| Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: NY 157794) |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2020-11-13 |