| NPI | 1639345796 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: KS 04-49206) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2014-01237) |
| Enumeration Date | 2008-05-07 |
| Last Update Date | 2024-05-14 |