NPI | 1295710218 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: FL ME91975) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL 91975) |
2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: FL ME91975) | |
Enumeration Date | 2005-12-13 |
Last Update Date | 2025-06-25 |