| NPI | 1295917425 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: KY 57685) |
| Additional Taxonomies | 207RH0000X Internal Medicine, Hematology (Licence: OH 35.095968) |
| Enumeration Date | 2007-11-29 |
| Last Update Date | 2023-04-21 |