| NPI | 1699031138 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: WI 73499-20) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35124144) |
| Enumeration Date | 2012-04-10 |
| Last Update Date | 2023-03-03 |