| NPI | 1013902006 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: FL ME93983) |
| Additional Taxonomies | 174400000X Specialist (Licence: FL ME93983) |
| Enumeration Date | 2005-09-15 |
| Last Update Date | 2020-08-31 |