| NPI | 1053848457 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AR E-14437) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301112235) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: AR E-14437) | |
| Enumeration Date | 2017-05-16 |
| Last Update Date | 2021-08-05 |