| NPI | 1245642073 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: FL ME167154) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME167154) |
| 207RH0000X Internal Medicine, Hematology (Licence: FL ME167154) | |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: TX R5550) | |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: ME MD27706) | |
| Enumeration Date | 2014-05-28 |
| Last Update Date | 2024-05-31 |