| NPI | 1518490531 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: FL ME152776) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME152776) |
| 208000000X Pediatrics (Licence: FL ME152776) | |
| Enumeration Date | 2017-04-06 |
| Last Update Date | 2024-05-31 |