| NPI | 1588848931 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: OH 35120070) |
| Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: MD D67421) |
| Enumeration Date | 2007-12-20 |
| Last Update Date | 2020-12-04 |