| NPI | 1306817002 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine Hematology & Oncology (Licence: KS 04-22987) |
| Additional Taxonomies | 207RH0003X Internal Medicine Hematology & Oncology (Licence: MO 104203) |
| Enumeration Date | 2006-01-30 |
| Last Update Date | 2013-03-01 |