| NPI | 1629495502 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MO 2023026075) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: KS 0443161) |
| Enumeration Date | 2014-03-28 |
| Last Update Date | 2023-08-16 |