| NPI | 1033190301 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine Hematology & Oncology (Licence: KS 04-31564) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KS 04-31564) |
| 207RX0202X Internal Medicine Medical Oncology (Licence: KS 04-31564) | |
| Enumeration Date | 2005-11-14 |
| Last Update Date | 2025-04-10 |