| NPI | 1558453977 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: OH 35.120481) | 
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: OH 35.120481) | 
| Enumeration Date | 2006-09-30 | 
| Last Update Date | 2025-10-09 |