| NPI | 1689844664 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine Hematology & Oncology (Licence: MO 2017016021) |
| Additional Taxonomies | 207RH0003X Internal Medicine Hematology & Oncology (Licence: KS 0434712) |
| Enumeration Date | 2008-03-06 |
| Last Update Date | 2018-12-11 |