| NPI | 1437259215 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RH0003X Internal Medicine Hematology & Oncology (Licence: MO 2016022288) |
| Additional Taxonomies | 207RH0003X Internal Medicine Hematology & Oncology (Licence: KS 0433640) |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2025-05-27 |