| NPI | 1801069356 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: PA MD435307) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT188040) |
| 207R00000X Internal Medicine (Licence: PA MD435307) | |
| Enumeration Date | 2008-04-04 |
| Last Update Date | 2017-05-09 |