| NPI | 1467870113 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: PA MD479438) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: VA 0101259698) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MN 67191) | |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: PA MD479438) | |
| 207R00000X Internal Medicine (Licence: VA 0101259698) | |
| Enumeration Date | 2014-03-31 |
| Last Update Date | 2023-05-19 |