| NPI | 1245211655 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine Hematology & Oncology (Licence: OH 35.081652) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35.081652) |
| 207RH0003X Internal Medicine Hematology & Oncology (Licence: KY 37440) | |
| Enumeration Date | 2005-11-11 |
| Last Update Date | 2016-05-16 |