| NPI | 1023026267 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: WI 35184) |
| Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: OH 35087459) |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2012-06-15 |