NPI | 1619960416 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: KY 21239) |
Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: KY 21239) |
207RH0003X Internal Medicine, Hematology & Oncology (Licence: OH 35040832) | |
207RX0202X Internal Medicine, Medical Oncology (Licence: OH 35.040832) | |
Enumeration Date | 2005-08-26 |
Last Update Date | 2020-10-01 |