| NPI | 1104960525 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: OH 35.097580) |
| Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: SC 31453) |
| 207RH0000X Internal Medicine, Hematology (Licence: SC 31453) | |
| Enumeration Date | 2007-02-18 |
| Last Update Date | 2011-10-04 |