| NPI | 1710966114 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: PA MD467231) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MD D0064483) |
| Enumeration Date | 2006-01-13 |
| Last Update Date | 2019-09-16 |