| NPI | 1912974676 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: PA MD021598E) |
| Additional Taxonomies | 174400000X Specialist (Licence: PA MD021598) |
| Enumeration Date | 2006-03-02 |
| Last Update Date | 2012-01-13 |