| NPI | 1568406445 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RX0202X Internal Medicine Medical Oncology (Licence: PA MD071871L) |
| Additional Taxonomies | 207RX0202X Internal Medicine Medical Oncology (Licence: NY 198319) |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2008-04-16 |