| NPI | 1477879567 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: FL ME158361) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125055728) |
| 207RH0000X Internal Medicine, Hematology (Licence: FL ME158361) | |
| Enumeration Date | 2010-04-14 |
| Last Update Date | 2026-06-02 |