| NPI | 1639115827 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine Hematology & Oncology (Licence: MO 2010009941) |
| Additional Taxonomies | 207RH0003X Internal Medicine Hematology & Oncology (Licence: KS 0533814) |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2017-03-08 |