| NPI | 1386790517 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: OH 35.147521) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NY 003013) |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: MN 108819) | |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: MN 60504) | |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2024-01-12 |