| NPI | 1821416645 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: KY 54040) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 57.024319) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: OH 35.130665) | |
| 207R00000X Internal Medicine (Licence: OH 35.130665) | |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: KY 54040) | |
| Enumeration Date | 2014-03-29 |
| Last Update Date | 2021-05-14 |