| NPI | 1417394149 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: FL ME140219) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT204679) |
| 207RH0000X Internal Medicine, Hematology (Licence: FL ME140219) | |
| Enumeration Date | 2013-06-04 |
| Last Update Date | 2021-11-13 |