| NPI | 1225528649 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: OH 35.150089) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 311647) |
| 207R00000X Internal Medicine (Licence: OH 57.245632) | |
| Enumeration Date | 2018-05-10 |
| Last Update Date | 2024-07-09 |