| NPI | 1053564542 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: OH 35.129365) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME 110425) |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: FL ME110425) | |
| Enumeration Date | 2008-10-28 |
| Last Update Date | 2020-12-07 |