| NPI | 1275915563 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WI 63948 - 20) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: IN 01081522A) |
| Enumeration Date | 2015-06-23 |
| Last Update Date | 2025-05-28 |