| NPI | 1255306684 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: IN 01070545A) |
| Additional Taxonomies | 174400000X Specialist (Licence: PA MD073272L) |
| Enumeration Date | 2006-02-21 |
| Last Update Date | 2016-01-06 |