NPI | 1295019222 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: KY 50764) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 57019227) |
207RH0003X Internal Medicine, Hematology & Oncology (Licence: OH 35.123653) | |
Enumeration Date | 2011-10-10 |
Last Update Date | 2023-01-03 |