| NPI | 1609869007 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine Hematology & Oncology (Licence: KS 04-22286) |
| Additional Taxonomies | 207RH0003X Internal Medicine Hematology & Oncology (Licence: MO R9D10) |
| Enumeration Date | 2005-08-31 |
| Last Update Date | 2024-10-01 |