| NPI | 1588877138 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: PA MD441455) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD441455) |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: PA MD441455) | |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2016-04-04 |