| NPI | 1851553663 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: PA MD437478) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: FL ME112021) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA MT189047) | |
| Enumeration Date | 2008-07-02 |
| Last Update Date | 2022-07-21 |