| NPI | 1194958967 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: MI 4301110406) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 57.016302) |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: MT 141446) | |
| Enumeration Date | 2009-08-27 |
| Last Update Date | 2024-05-17 |