| NPI | 1801058482 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: PA MD440425) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT192550) |
| Enumeration Date | 2008-06-25 |
| Last Update Date | 2014-06-24 |