| NPI | 1639258379 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: OH 35.133906) |
| Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: MO 2009006300) |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2025-07-31 |