| NPI | 1730171448 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA OS004283L) |
| Additional Taxonomies | 207RH0003X Internal Medicine Hematology & Oncology (Licence: PA OS004283L) |
| 207RH0000X Internal Medicine Hematology (Licence: PA OS004283L) | |
| 207RX0202X Internal Medicine Medical Oncology (Licence: PA OS004283L) | |
| Enumeration Date | 2005-08-18 |
| Last Update Date | 2016-12-14 |