| NPI | 1386677938 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MO 2002017799) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: KS 0428985) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: IN 01049900A) | |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2020-05-15 |