| NPI | 1326304353 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RH0000X Internal Medicine, Hematology (Licence: NC 2019-01739) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 57.021117) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NC 2019-01739) | |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: NC 2019-01739) | |
| 208000000X Pediatrics (Licence: OH 57.021117) | |
| Enumeration Date | 2012-04-04 |
| Last Update Date | 2022-06-14 |