| NPI | 1134483175 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: WI 63915) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 63915) |
| 207R00000X Internal Medicine (Licence: IN 01081261A) | |
| 207RH0003X Internal Medicine Hematology & Oncology (Licence: IN 01081261A) | |
| 207RX0202X Internal Medicine Medical Oncology (Licence: IN 01081261A) | |
| Enumeration Date | 2012-06-25 |
| Last Update Date | 2024-05-31 |