| NPI | 1285935734 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: OH 35.133042) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT196160) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: PA MD446202) | |
| Enumeration Date | 2010-11-14 |
| Last Update Date | 2023-09-01 |