| NPI | 1275986580 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: OH 35.144118) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT211639) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: WV 421) | |
| Enumeration Date | 2016-07-21 |
| Last Update Date | 2022-08-16 |