| NPI | 1518949080 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: OH 35.054656) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MA 76942) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: PA MD071964) | |
| Enumeration Date | 2005-11-18 |
| Last Update Date | 2024-07-01 |