| NPI | 1578766796 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: IL 036125938) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 57010826) |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: MN 60946) | |
| Enumeration Date | 2007-06-06 |
| Last Update Date | 2024-02-14 |