| NPI | 1750380903 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: FL ME0071857) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME0071857) |
| Enumeration Date | 2005-07-19 |
| Last Update Date | 2021-03-22 |