| NPI | 1134616873 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: OH 75.000063) |
| Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: MD D48432) |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: NY 307315) | |
| Enumeration Date | 2018-04-18 |
| Last Update Date | 2025-01-16 |