| NPI | 1679640320 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: PA MD052822L) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD052822L) |
| 207RH0000X Internal Medicine, Hematology (Licence: PA MD052822L) | |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: PA MD052822L) | |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: NJ 25MA10415100) | |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2018-11-14 |