| NPI | 1790773471 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NY 242390) |
| Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: PA MD444782) |
| 207R00000X Internal Medicine (Licence: PA MD444782) | |
| Enumeration Date | 2005-10-07 |
| Last Update Date | 2022-05-12 |