| NPI | 1710143847 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine Hematology & Oncology (Licence: OH 35-129181) |
| Additional Taxonomies | 207RX0202X Internal Medicine Medical Oncology (Licence: OH 35-129181) |
| Enumeration Date | 2008-07-29 |
| Last Update Date | 2023-01-11 |