| NPI | 1316241870 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: PA MD476726) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NY 284263) |
| 207R00000X Internal Medicine (Licence: WI 61143) | |
| Enumeration Date | 2010-12-27 |
| Last Update Date | 2022-08-08 |