| NPI | 1497982029 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: FL ME144701) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NE 26032) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: FL ME144701) | |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NE 26032) | |
| Enumeration Date | 2009-06-22 |
| Last Update Date | 2020-06-01 |