| NPI | 1962692368 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: KS 04-39294) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301102355) |
| 207R00000X Internal Medicine (Licence: MO 2013073691) | |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MO 2013073691) | |
| Enumeration Date | 2007-07-31 |
| Last Update Date | 2017-03-21 |