| NPI | 1063596989 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0000X Internal Medicine Hematology (Licence: OH 35.136949) |
| Additional Taxonomies | 207RX0202X Internal Medicine Medical Oncology (Licence: NC 2002-00830) |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2024-07-19 |