| NPI | 1306833934 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: OH 35.137182) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: CT 037959) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: SC 33040) | |
| Enumeration Date | 2005-09-29 |
| Last Update Date | 2019-08-29 |