| NPI | 1710106422 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: PA MD439419) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NE 5387) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: PA MT196387) | |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2013-08-01 |