| NPI | 1831154731 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: MD D47203) |
| Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: CA C55735) |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: OH 35074984W) | |
| Enumeration Date | 2006-04-20 |
| Last Update Date | 2020-12-24 |