| 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 |