| NPI | 1639225519 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: OH 35.152226) |
| Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: PA MD445729) |
| 207R00000X Internal Medicine (Licence: PA MD445729) | |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2024-12-02 |