| NPI | 1699194928 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: FL ME132259) | 
| Additional Taxonomies | 207RH0000X Internal Medicine, Hematology (Licence: FL ME132259) | 
| Enumeration Date | 2014-04-15 | 
| Last Update Date | 2022-09-02 |