| NPI | 1427006782 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: FL 71996) | 
| Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: FL ME71996) | 
| 174400000X Specialist (Licence: FL ME71996) | |
| 207R00000X Internal Medicine (Licence: FL 71996) | |
| 207RH0000X Internal Medicine, Hematology (Licence: FL 71196) | |
| Enumeration Date | 2006-05-05 | 
| Last Update Date | 2021-12-22 |