| NPI | 1306938774 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: FL ME 103579) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME 103579) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NC 2013-00226) | |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2022-04-07 |