| NPI | 1548262512 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: OH 35-05-7997-P) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: OH 35.057997) |
| Enumeration Date | 2005-08-10 |
| Last Update Date | 2022-12-21 |