| NPI | 1801004106 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: PA MD430368) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT182097) |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2014-12-16 |