| NPI | 1134781941 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: KS 04-51092) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NE 8637) |
| Enumeration Date | 2019-07-01 |
| Last Update Date | 2025-05-29 |