| NPI | 1992761589 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: OH 35C.000982) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: OK 17627) |
| Enumeration Date | 2006-04-24 |
| Last Update Date | 2024-01-10 |