| NPI | 1568407583 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine Hematology & Oncology (Licence: PA MD041860L) |
| Additional Taxonomies | 207RH0003X Internal Medicine Hematology & Oncology (Licence: VA 0101232517) |
| Enumeration Date | 2006-06-17 |
| Last Update Date | 2013-07-22 |