| NPI | 1225097041 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AR E4093) |
| Additional Taxonomies | 207RH0000X Internal Medicine, Hematology (Licence: AR E-4093) |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: AR E-4093) | |
| Enumeration Date | 2006-03-21 |
| Last Update Date | 2022-12-13 |