| NPI | 1922013598 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: OH 35.135372) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: WI 45115) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: IL 036099402) | |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2023-12-13 |