NPI | 1609895838 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: PA MD053709L) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD053709L) |
207RH0000X Internal Medicine, Hematology (Licence: PA MD053709L) | |
207RX0202X Internal Medicine, Medical Oncology (Licence: NJ 25MA10434900) | |
Enumeration Date | 2006-07-19 |
Last Update Date | 2018-11-02 |