| NPI | 1386806941 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: KS 0438229) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MO 2015019920) |
| Enumeration Date | 2008-06-25 |
| Last Update Date | 2016-05-09 |