| NPI | 1265846513 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: AZ 60041) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 11017850A) |
| Enumeration Date | 2014-06-15 |
| Last Update Date | 2020-07-15 |