| NPI | 1215270343 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: OH 35.135646) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.062618) |
| Enumeration Date | 2013-03-27 |
| Last Update Date | 2019-07-12 |