| NPI | 1841429750 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: KS 94-07319) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KS 9407319) |
| Enumeration Date | 2009-07-13 |
| Last Update Date | 2013-08-20 |