| NPI | 1578790341 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD443557) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT196037) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: PA MD443557) | |
| Enumeration Date | 2009-06-18 |
| Last Update Date | 2023-07-05 |