| NPI | 1851387039 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: KY 33039) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: IN 01084520A) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: OH 72179) | |
| Enumeration Date | 2005-09-23 |
| Last Update Date | 2021-03-29 |