| NPI | 1316309578 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: PA MD470979) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD470979) |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: PA MD470979) | |
| Enumeration Date | 2016-03-25 |
| Last Update Date | 2022-12-08 |