| NPI | 1407802895 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine Medical Oncology (Licence: KS 31661) |
| Additional Taxonomies | 207RX0202X Internal Medicine Medical Oncology (Licence: MO 2004017398) |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2025-09-03 |