| NPI | 1578902755 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: FL ME162924) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35 128592) |
| 207RH0000X Internal Medicine, Hematology (Licence: FL ME162924) | |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: CT 70880) | |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: FL ME162924) | |
| Enumeration Date | 2013-06-20 |
| Last Update Date | 2023-07-19 |