| NPI | 1912998113 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine Medical Oncology (Licence: OH 35.086452) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35.086452) |
| Enumeration Date | 2005-11-04 |
| Last Update Date | 2011-07-27 |