| NPI | 1699836924 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: FL ME115802) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PR 16509) |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2021-03-03 |