| NPI | 1417368085 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: MN 61733) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MN 61733) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: FL ME144384) | |
| Enumeration Date | 2014-05-16 |
| Last Update Date | 2022-10-05 |