| NPI | 1730263096 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME125345) |
| Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: FL ME125345) |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2024-11-20 |