| NPI | 1174540538 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: OH 35.132240) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 230007) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: VT 042.0012961) | |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2020-12-07 |