| NPI | 1942201439 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: DE C1-0025012) |
| Additional Taxonomies | 207RH0000X Internal Medicine, Hematology (Licence: DE C1-0025012) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: GU M-2426) | |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: TX J6958) | |
| Enumeration Date | 2005-08-09 |
| Last Update Date | 2024-03-25 |