| NPI | 1598045700 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: TX R8436) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: PA MT198861) |
| 207R00000X Internal Medicine (Licence: PA MT198861) | |
| Enumeration Date | 2011-08-18 |
| Last Update Date | 2019-03-19 |