| NPI | 1568882876 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: KS 04-43238) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2014016536) |
| Enumeration Date | 2014-04-25 |
| Last Update Date | 2024-03-01 |