| NPI | 1124551619 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: FL ME170742) |
| Additional Taxonomies | 207RH0000X Internal Medicine, Hematology (Licence: FL ME170742) |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: FL ME170742) | |
| Enumeration Date | 2017-04-11 |
| Last Update Date | 2025-10-22 |