| NPI | 1134486046 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine Hematology & Oncology (Licence: DE C1-0013028) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD453456) |
| Enumeration Date | 2012-04-16 |
| Last Update Date | 2022-09-26 |