| NPI | 1952756660 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine Medical Oncology (Licence: KY 56820) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 57.028706) |
| 207RX0202X Internal Medicine Medical Oncology (Licence: IN 01088948A) | |
| 207RX0202X Internal Medicine Medical Oncology (Licence: KY TP770) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-05-01 |
| Last Update Date | 2023-01-31 |