| NPI | 1114131711 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: IN 01074780A) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: OH 35.097129) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: PA MD447328) | |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2025-02-17 |