NPI | 1538130323 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: PA MD469013) |
Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: NY 213568) |
208000000X Pediatrics (Licence: NY 213568) | |
Enumeration Date | 2006-01-30 |
Last Update Date | 2021-02-02 |