| NPI | 1396059705 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: KY 54566) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: KY 54566) |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: KY TP671) | |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: WV 25459) | |
| Enumeration Date | 2010-07-28 |
| Last Update Date | 2021-01-06 |