| NPI | 1487820189 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: OH 35098460) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NC 134714) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: OH 098460) | |
| Enumeration Date | 2008-05-02 |
| Last Update Date | 2020-12-04 |