| NPI | 1740417468 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: MA 266576) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA MT195348) |
| 207R00000X Internal Medicine (Licence: MD D0073981) | |
| Enumeration Date | 2009-06-20 |
| Last Update Date | 2016-07-06 |