| NPI | 1194718692 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: OH 35-097835) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: SC 23780) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NC 2008-01240) | |
| Enumeration Date | 2005-08-30 |
| Last Update Date | 2021-01-14 |