| NPI | 1922092287 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: OH 35047767) |
| Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: KY 33579) |
| Enumeration Date | 2005-09-01 |
| Last Update Date | 2011-05-12 |