| NPI | 1407219231 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: PA MD464958) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT210480) |
| 207R00000X Internal Medicine (Licence: PA MD464958) | |
| Enumeration Date | 2016-03-30 |
| Last Update Date | 2023-09-16 |