| NPI | 1548366321 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine Medical Oncology (Licence: PA MD427002) |
| Additional Taxonomies | 174400000X Specialist (Licence: PA MD 927002) |
| 207LH0002X Anesthesiology Hospice and Palliative Medicine (Licence: PA MD427002) | |
| 207LP2900X Anesthesiology Pain Medicine (Licence: PA MD427002) | |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2018-04-09 |