| NPI | 1972573780 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine Medical Oncology (Licence: WV 13159) |
| Additional Taxonomies | 207RH0000X Internal Medicine Hematology (Licence: OH 35047846) |
| Enumeration Date | 2006-01-24 |
| Last Update Date | 2015-05-26 |