| NPI | 1114452935 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine Hematology & Oncology (Licence: PA MD468513) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT212845) |
| Enumeration Date | 2017-04-30 |
| Last Update Date | 2023-10-17 |