| NPI | 1922170430 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: KY 47850) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: OH 35.084105) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: KY 23824) | |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: CO 46459) | |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: WV 23824) | |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2021-12-27 |