| NPI | 1912087073 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: VT 042-0015388) |
| Additional Taxonomies | 207RH0000X Internal Medicine, Hematology (Licence: VT 042-0015388) |
| 207RH0000X Internal Medicine, Hematology (Licence: NY 258194) | |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: NY 258194) | |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2025-09-18 |