| NPI | 1003892589 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD072681L) |
| Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: PA MD072681L) |
| Enumeration Date | 2005-12-16 |
| Last Update Date | 2021-06-09 |