| NPI | 1073892626 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: PA MD452546) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT198506) |
| 207R00000X Internal Medicine (Licence: PA MD452546) | |
| Enumeration Date | 2011-08-15 |
| Last Update Date | 2020-09-03 |