| NPI | 1922236173 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: FL ME115935) |
| Additional Taxonomies | 207RH0000X Internal Medicine, Hematology (Licence: FL ME115935) |
| 207R00000X Internal Medicine (Licence: FL ME115935) | |
| 207R00000X Internal Medicine (Licence: WV 25824) | |
| Enumeration Date | 2009-06-26 |
| Last Update Date | 2020-09-02 |