| NPI | 1528443397 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: KS 94-09444) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NE 7572) |
| Enumeration Date | 2015-07-22 |
| Last Update Date | 2018-07-11 |