| NPI | 1578557864 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: OH 35065059) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: KY 33573) |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: MA 56542) | |
| Enumeration Date | 2005-09-01 |
| Last Update Date | 2023-04-14 |