| NPI | 1932211620 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0000X Internal Medicine, Hematology (Licence: OH 35.093301) |
| Additional Taxonomies | 207RH0000X Internal Medicine, Hematology (Licence: NY 243730) |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: NY 243730) | |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2023-07-06 |