| NPI | 1083652655 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: FL ME172987) |
| Additional Taxonomies | 207RH0000X Internal Medicine, Hematology (Licence: OH 35-87785) |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: OH 35-87785) | |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: OH 87785) | |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: FL ME172987) | |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2025-06-20 |