| NPI | 1952811044 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine Medical Oncology (Licence: MD D88423) |
| Additional Taxonomies | 207RX0202X Internal Medicine Medical Oncology (Licence: NY P06098) |
| Enumeration Date | 2017-10-03 |
| Last Update Date | 2024-11-12 |