| NPI | 1326085374 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: OH 35-07-0832) |
| Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: WV 21366) |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2021-01-21 |