| NPI | 1275526089 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: OH 34-007163) |
| Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: IN 02006173A) |
| Enumeration Date | 2005-08-26 |
| Last Update Date | 2021-03-25 |