| NPI | 1124241062 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: TN 38210) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MS 20787) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: AR E-6771) | |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2021-06-22 |