| NPI | 1407389455 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine Hematology & Oncology (Licence: MO 2023010486) |
| Additional Taxonomies | 207RH0003X Internal Medicine Hematology & Oncology (Licence: KS 04-47947) |
| Enumeration Date | 2017-04-06 |
| Last Update Date | 2023-07-25 |