| NPI | 1316358427 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: PA MD461777) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WV 32313) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: WV 32313) | |
| Enumeration Date | 2014-05-12 |
| Last Update Date | 2024-10-23 |