| NPI | 1033189584 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: FL ME48046) |
| Additional Taxonomies | 174400000X Specialist (Licence: FL ME48046) |
| 207RH0000X Internal Medicine, Hematology (Licence: FL ME48046) | |
| Enumeration Date | 2006-01-26 |
| Last Update Date | 2018-09-11 |