| NPI | 1891880563 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NY 314815) |
| Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: IL 336.100606) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2022-12-07 |