| NPI | 1538291901 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: OH 35-095551) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35-095551) |
| 207R00000X Internal Medicine (Licence: MD P17478) | |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2020-11-28 |