| NPI | 1710085071 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MA 261667) |
| Additional Taxonomies | 207RH0000X Internal Medicine, Hematology (Licence: MA 261667) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NH 33663) | |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: ME 016838) | |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2024-10-03 |