| NPI | 1174590707 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: FL ME0025907) |
| Additional Taxonomies | 207RH0000X Internal Medicine, Hematology (Licence: FL ME25907) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: FL ME25907) | |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: FL ME25907) | |
| Enumeration Date | 2006-03-02 |
| Last Update Date | 2023-04-06 |