| NPI | 1780784645 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: KS 04-21354) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MO 2010033317) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: KS 04-21354) | |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2021-01-11 |