| NPI | 1215144209 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: NY 288507) |
| Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: OH 35.099399) |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2018-04-08 |