| NPI | 1588602627 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: OH 35082422) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35.082422) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: PA MD421459) | |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2023-03-07 |