| NPI | 1164477097 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine Hematology & Oncology (Licence: IN 01067972A) |
| Additional Taxonomies | 207RH0003X Internal Medicine Hematology & Oncology (Licence: WV 22311) |
| 207RX0202X Internal Medicine Medical Oncology (Licence: WV 22311) | |
| 208VP0000X Pain Medicine Pain Medicine (Licence: WV 22311) | |
| Enumeration Date | 2006-05-22 |
| Last Update Date | 2025-08-18 |