| NPI | 1265872832 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: SC 81760) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KS 9408089) |
| Enumeration Date | 2013-06-27 |
| Last Update Date | 2019-08-15 |