| 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 |