| NPI | 1679721617 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: MA 265086) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA MT193721) |
| 207R00000X Internal Medicine (Licence: MA 265086) | |
| Enumeration Date | 2008-09-03 |
| Last Update Date | 2016-02-10 |