NPI | 1588068597 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: FL ME174409) |
Additional Taxonomies | 207RH0000X Internal Medicine, Hematology (Licence: NC 2022-00348) |
207RH0003X Internal Medicine, Hematology & Oncology (Licence: MO 2018019594) | |
207RH0003X Internal Medicine, Hematology & Oncology (Licence: NC 2022-00348) | |
Enumeration Date | 2014-10-20 |
Last Update Date | 2025-09-09 |