| NPI | 1437122454 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: KY 32014) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: OH 35-05-2939-h) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: IN 01044991) | |
| Enumeration Date | 2006-02-09 |
| Last Update Date | 2021-01-19 |