| NPI | 1568898591 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: WV 207RH0003X) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD458237) |
| Enumeration Date | 2013-09-23 |
| Last Update Date | 2022-09-08 |