| NPI | 1174517593 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: TN MD47104) |
| Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: KY 33288) |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: OH 35052823) | |
| Enumeration Date | 2005-08-31 |
| Last Update Date | 2022-03-23 |