| NPI | 1528263043 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: KS 04-33369) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: IA 39014) |
| 207R00000X Internal Medicine (Licence: KS 04-33369) | |
| Enumeration Date | 2007-06-15 |
| Last Update Date | 2013-09-25 |