| NPI | 1568800738 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: OH 35.147802) | 
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: SC 83673) | 
| 207RX0202X Internal Medicine, Medical Oncology (Licence: SC 83673) | |
| Enumeration Date | 2013-06-10 | 
| Last Update Date | 2023-07-28 |