| NPI | 1700242187 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: FL ME146598) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: FL ME146598) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NY 294604) | |
| Enumeration Date | 2016-01-14 |
| Last Update Date | 2023-09-27 |