| NPI | 1972547438 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: OH 35053810) |
| Additional Taxonomies | 174400000X Specialist (Licence: OH 35053810) |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2011-11-28 |