| NPI | 1710969779 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: OH 35093402) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 200501445) |
| Enumeration Date | 2005-11-16 |
| Last Update Date | 2021-01-05 |