| NPI | 1841502275 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: PA MD457306) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT196327) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MN 56782) | |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MN 106899) | |
| Enumeration Date | 2010-07-14 |
| Last Update Date | 2022-07-21 |