| NPI | 1619312378 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine Hematology & Oncology (Licence: PA MD476057) |
| Additional Taxonomies | 207RH0003X Internal Medicine Hematology & Oncology (Licence: KY 49355) |
| 207RH0003X Internal Medicine Hematology & Oncology (Licence: WV 26511) | |
| Enumeration Date | 2013-05-07 |
| Last Update Date | 2023-12-12 |