| NPI | 1528016052 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine Hematology & Oncology (Licence: PA MD440807) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A90097) |
| 207RX0202X Internal Medicine Medical Oncology (Licence: CA A90097) | |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2012-03-28 |