| NPI | 1477046282 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: PA MD484634) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT215484) |
| Enumeration Date | 2018-06-07 |
| Last Update Date | 2024-07-26 |