| NPI | 1649558420 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: PA MD453524) |
| Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: OH 35.131433) |
| Enumeration Date | 2011-07-28 |
| Last Update Date | 2018-11-09 |