| NPI | 1437189768 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: OH 35.085994) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MO 2007004464) |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: MO 2007004464) | |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2021-07-07 |