| NPI | 1689692691 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: OH 35.151933) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 237958) |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: IN 01091108A) | |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2025-02-11 |