| NPI | 1689629602 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine Hematology & Oncology (Licence: AL MD.34567) |
| Additional Taxonomies | 207RH0003X Internal Medicine Hematology & Oncology (Licence: DE C1-0008513) |
| 207RH0003X Internal Medicine Hematology & Oncology (Licence: WV 21561) | |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2018-11-20 |