| NPI | 1639117781 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: OH 35093377) |
| Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: TX M2419) |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2009-08-20 |