| NPI | 1356543169 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: OH 35.134349) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT 183286) |
| 207R00000X Internal Medicine (Licence: AZ MD37268) | |
| 207R00000X Internal Medicine (Licence: PA MD432198) | |
| Enumeration Date | 2007-06-04 |
| Last Update Date | 2020-01-09 |