| NPI | 1174054548 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: KY 58060) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: OH 35.138568) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: KY 58060) | |
| Enumeration Date | 2017-03-27 |
| Last Update Date | 2023-06-20 |