| NPI | 1568726248 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine Hematology & Oncology (Licence: DE C1-0012926) |
| Additional Taxonomies | 207RH0003X Internal Medicine Hematology & Oncology (Licence: MD D86861) |
| 207RH0003X Internal Medicine Hematology & Oncology (Licence: PA MD453444) | |
| Enumeration Date | 2012-06-27 |
| Last Update Date | 2019-06-21 |