| NPI | 1487811964 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine Medical Oncology (Licence: PA MD445930) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD445930) |
| Enumeration Date | 2008-05-21 |
| Last Update Date | 2019-09-19 |