| NPI | 1235441585 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: PA MD457539) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2010017821) |
| Enumeration Date | 2010-07-01 |
| Last Update Date | 2019-10-14 |