| NPI | 1568481703 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: PA MD047162L) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD047162L) |
| 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: PA MD047162L) | |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2014-06-05 |