| NPI | 1053303750 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MS 16334) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: AR E1105) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: TN 29661) | |
| Enumeration Date | 2005-08-18 |
| Last Update Date | 2021-06-22 |