| NPI | 1730218876 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: OH 35091908) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: KY 46461) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: IN 01070328A) | |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2021-04-22 |