| NPI | 1194765800 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: OH 35082192) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: IN 01062084A) |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: OH 35082192) | |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2021-07-29 |