| NPI | 1578580460 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: PA MD422164) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: PA MD422164) |
| Enumeration Date | 2006-07-16 |
| Last Update Date | 2012-12-13 |