| NPI | 1649447558 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine Hematology & Oncology (Licence: DC MD210012179) |
| Additional Taxonomies | 207RH0003X Internal Medicine Hematology & Oncology (Licence: PA MD450125) |
| Enumeration Date | 2008-05-09 |
| Last Update Date | 2023-10-19 |