| NPI | 1679801435 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: OH 35145828) |
| Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: KY TP342) |
| Enumeration Date | 2009-12-04 |
| Last Update Date | 2022-10-20 |