| NPI | 1356631287 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: FL ME131216) |
| Additional Taxonomies | 207RH0000X Internal Medicine, Hematology (Licence: FL ME131216) |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: PA FS2720680) | |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: PA MD453183) | |
| Enumeration Date | 2011-04-12 |
| Last Update Date | 2023-09-08 |