| NPI | 1689787731 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: OH 35130168) |
| Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: MI 4301108930) |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: NY 205729) | |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2020-11-10 |