| NPI | 1538196662 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 35-04-7305) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WV 15377) |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: OH 35-04-7305) | |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: WV 15377) | |
| Enumeration Date | 2006-06-26 |
| Last Update Date | 2011-03-05 |