| NPI | 1548372022 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0000X Internal Medicine, Hematology (Licence: PA MD045263E) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: PA MD045263) |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: PA MD045263E) | |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2012-05-08 |