| NPI | 1861455313 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: PA MD024455E) |
| Additional Taxonomies | 174400000X Specialist (Licence: PA md024455) |
| Enumeration Date | 2006-04-07 |
| Last Update Date | 2011-03-15 |