| NPI | 1194801050 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: PA MD458676) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301085070) |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: MI 4301085070) | |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: AL 31533) | |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2016-07-25 |