| NPI | 1124028469 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: TN PA0004) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: AR PA174) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MS 06PA022) | |
| Enumeration Date | 2005-07-28 |
| Last Update Date | 2009-10-06 |