NPI | 1265691935 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0003X Internal Medicine Hematology & Oncology (Licence: IN 01069802A) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01069802A) |
390200000X Student in an Organized Health Care Education/Training Program (Licence: IN 11013658A) | |
Enumeration Date | 2008-06-06 |
Last Update Date | 2019-03-07 |