| NPI | 1992118178 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: NY 284687) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA L-259709) |
| Enumeration Date | 2014-06-05 |
| Last Update Date | 2020-04-27 |