| NPI | 1508220120 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: OH 35.133762) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 57.027788) |
| 207R00000X Internal Medicine (Licence: OH 35.133762) | |
| Enumeration Date | 2016-04-09 |
| Last Update Date | 2023-08-07 |