| NPI | 1518960384 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: FL ME145016) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME145016) |
| 207RH0000X Internal Medicine, Hematology (Licence: FL ME145016) | |
| Enumeration Date | 2005-05-24 |
| Last Update Date | 2021-11-04 |