| NPI | 1811968225 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: OH 35.149796) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: DE C1-0007148) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: TX N1326) | |
| Enumeration Date | 2006-02-01 |
| Last Update Date | 2024-02-02 |