| NPI | 1083664023 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: OH 35061874) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: OH 35061874-S) |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: OH 35.061874) | |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2022-01-07 |