| NPI | 1104082809 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: IN 01066282A) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MI 4301095492) |
| 207R00000X Internal Medicine (Licence: IL 036-116126) | |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: IN 01066282A) | |
| Enumeration Date | 2008-08-01 |
| Last Update Date | 2026-07-06 |