NPI | 1306867114 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: KS 04-30364) |
Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: PA MD05118L) |
Enumeration Date | 2006-07-21 |
Last Update Date | 2007-07-08 |