| NPI | 1043201817 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine Hematology & Oncology (Licence: PA MD435022) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D0060000) |
| Enumeration Date | 2005-11-02 |
| Last Update Date | 2012-02-10 |