| NPI | 1962440305 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine Medical Oncology (Licence: OH 35-075102) |
| Additional Taxonomies | 207RX0202X Internal Medicine Medical Oncology (Licence: OH 75102) |
| 207RH0000X Internal Medicine Hematology (Licence: OH 35-075102) | |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2012-05-14 |