| NPI | 1851491468 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 207RH0000X Internal Medicine, Hematology (Licence: OH 35088651)  | 
| Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: OH 35.088651)  | 
| Enumeration Date | 2006-09-24 | 
| Last Update Date | 2022-12-03 |