| NPI | 1568991297 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: PA MD478749) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: PA MT222567) |
| 207R00000X Internal Medicine (Licence: RI MD17002) | |
| 207R00000X Internal Medicine (Licence: RI LP03927) | |
| Enumeration Date | 2017-06-06 |
| Last Update Date | 2024-06-26 |