Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0000X | Hematologist | FL044 | KY |
N | 207RH0003X | Hematology & Oncology | 203443 | LA |
N | 207RH0003X | Hematology & Oncology | 8341061-1252 | UT |
N | 207RH0003X | Hematology & Oncology | FL044 | KY |
NPI | 1245568633 |
---|---|
Provider Name | Dr. Gerhard Carl Hildebrandt |
First Address | Lexington, KY 40536-0093 |
Second Address | Lexington, KY 40536-0093 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/11/2009 |
Last Update Date | 20/07/2020 |