| NPI | 1134241284 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: FL ME156953) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: OH 89175) |
| 207RH0000X Internal Medicine, Hematology (Licence: FL ME156953) | |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2026-02-19 |