| NPI | 1881071777 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: KY 04306) |
| Additional Taxonomies | 207RX0202X Internal Medicine Medical Oncology (Licence: OH 34.013705) |
| 207R00000X Internal Medicine (Licence: KY R3731) | |
| Enumeration Date | 2015-04-30 |
| Last Update Date | 2024-04-18 |