| NPI | 1083643845 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine Hematology & Oncology (Licence: TN 30872) |
| Additional Taxonomies | 207RH0003X Internal Medicine Hematology & Oncology (Licence: MS 17759) |
| 207RH0003X Internal Medicine Hematology & Oncology (Licence: AR E3978) | |
| Enumeration Date | 2006-07-02 |
| Last Update Date | 2023-06-21 |