| NPI | 1225350788 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: AZ 61846) |
| Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: OH 35130221) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: ME 131019) | |
| Enumeration Date | 2010-02-24 |
| Last Update Date | 2023-10-10 |