| NPI | 1013911593 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: IN 01028409A) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MI 4301052476) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: IN 01028409A) | |
| Enumeration Date | 2005-06-13 |
| Last Update Date | 2018-01-03 |