| NPI | 1053317941 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: AR E-3937) |
| Additional Taxonomies | 173000000X Legal Medicine (Licence: AR E3937) |
| 174400000X Specialist (Licence: AR E3937) | |
| Enumeration Date | 2005-06-24 |
| Last Update Date | 2022-03-30 |