| NPI | 1992264782 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: KS 94-11158) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 0) |
| Enumeration Date | 2019-03-19 |
| Last Update Date | 2025-03-25 |