| NPI | 1043509862 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine Medical Oncology (Licence: OH 35.121238) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35.121238) |
| Enumeration Date | 2011-04-01 |
| Last Update Date | 2020-07-20 |