| NPI | 1104245687 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: GA 99206) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01078145A) |
| Enumeration Date | 2014-04-10 |
| Last Update Date | 2024-08-14 |