| NPI | 1891956892 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: FL ME120062) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT192794) |
| 207R00000X Internal Medicine (Licence: FL ME120062) | |
| 207RH0000X Internal Medicine, Hematology (Licence: FL ME120062) | |
| Enumeration Date | 2008-06-23 |
| Last Update Date | 2020-08-19 |