| NPI | 1497935316 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: OH 35094369) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 52369) |
| Enumeration Date | 2007-11-08 |
| Last Update Date | 2019-04-17 |