| NPI | 1659510337 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: FL ME137058) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 53779-20) |
| 207R00000X Internal Medicine (Licence: OH 35-121453) | |
| 207RH0000X Internal Medicine, Hematology (Licence: FL ME137058) | |
| Enumeration Date | 2009-02-19 |
| Last Update Date | 2021-09-14 |