| NPI | 1285822924 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: FL ME124921) |
| Additional Taxonomies | 207RH0000X Internal Medicine, Hematology (Licence: FL ME124921) |
| Enumeration Date | 2007-10-09 |
| Last Update Date | 2022-09-01 |