| NPI | 1659546240 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MO 201530910) |
| Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: MN 73217) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NH 25693) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MN 73217) | |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: MO 2015030910) | |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: FL ME169176) | |
| Enumeration Date | 2008-04-24 |
| Last Update Date | 2024-08-28 |