| NPI | 1528798022 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RA0201X Internal Medicine, Allergy & Immunology (Licence: KS 94-11114) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KS 94-11114) |
| Enumeration Date | 2022-06-16 |
| Last Update Date | 2025-07-01 |