| NPI | 1982680583 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: MN 38085) |
| Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: NY 245715) |
| Enumeration Date | 2005-12-16 |
| Last Update Date | 2023-01-24 |