| NPI | 1043332190 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine Medical Oncology (Licence: OH 35.120323) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301087898) |
| 207RH0000X Internal Medicine Hematology (Licence: MI 4301087898) | |
| 207RX0202X Internal Medicine Medical Oncology (Licence: MI 4301087898) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4301087898) | |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2020-12-04 |