| NPI | 1750793949 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: PA MD465597) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT206954) |
| Enumeration Date | 2014-05-22 |
| Last Update Date | 2023-08-04 |