| NPI | 1962589382 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: OH 35.047489) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: OH 35-047489) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2010-08-25 |