| NPI | 1942207337 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: PA MD036696L) |
| Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: KY 35355) |
| Enumeration Date | 2005-06-30 |
| Last Update Date | 2016-08-30 |