| NPI | 1003830746 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: OH 35.063635) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY 38674) |
| 207RH0000X Internal Medicine, Hematology (Licence: TN 16949) | |
| 207RH0000X Internal Medicine, Hematology (Licence: KY 38674) | |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: KY 38674) | |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2025-02-24 |