| NPI | 1447781554 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: KS 04-47877) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 1447781554) |
| Enumeration Date | 2017-03-22 |
| Last Update Date | 2023-07-06 |