| NPI | 1407055700 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: OH 35-096313) |
| Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: NY 156395) |
| Enumeration Date | 2007-07-16 |
| Last Update Date | 2010-12-30 |