| NPI | 1194718916 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: KY 39400) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: OH 35081301) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: KY 39400) | |
| Enumeration Date | 2005-08-26 |
| Last Update Date | 2020-10-01 |