NPI | 1912021635 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: KS 04-19028) |
Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: ID M9684) |
207RX0202X Internal Medicine, Medical Oncology (Licence: NE 17823) | |
207RX0202X Internal Medicine, Medical Oncology (Licence: MO 2008034882) | |
Enumeration Date | 2007-03-19 |
Last Update Date | 2020-02-14 |