| NPI | 1558522565 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RH0000X Internal Medicine, Hematology (Licence: PA MD445551) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: RI LP01493) |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: PA MD445551) | |
| Enumeration Date | 2008-06-23 |
| Last Update Date | 2016-08-04 |