NPI | 1891255675 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: FL ME152369) |
Additional Taxonomies | 207RH0000X Internal Medicine, Hematology (Licence: FL ME152369) |
Enumeration Date | 2019-03-20 |
Last Update Date | 2025-07-21 |