| NPI | 1275575714 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: RI MD16548) |
| Additional Taxonomies | 207RH0000X Internal Medicine, Hematology (Licence: PA MD054226L) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: PA MD054226L) | |
| Enumeration Date | 2006-06-11 |
| Last Update Date | 2019-06-07 |