| NPI | 1023175593 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: MD D0077531) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD465368) |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: PA MD465368) | |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2022-07-13 |