| NPI | 1295728459 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: OH 35070569) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: KY 31986) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: IN 01033350A) | |
| Enumeration Date | 2005-08-23 |
| Last Update Date | 2021-04-19 |