| NPI | 1831187947 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: FL ME112945) |
| Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: PA MD 417495) |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: GA 057014) | |
| Enumeration Date | 2005-10-12 |
| Last Update Date | 2014-01-08 |