| NPI | 1427481472 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: FL ME156502) |
| Additional Taxonomies | 207RH0000X Internal Medicine, Hematology (Licence: MI 4301511430) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: WI 65642) | |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: MI 4301511430) | |
| 207R00000X Internal Medicine (Licence: FL ME156502) | |
| Enumeration Date | 2013-08-13 |
| Last Update Date | 2024-09-27 |