| NPI | 1386823425 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: IN 01091743A) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: DE C1-0023949) |
| 208D00000X General Practice (Licence: PA MD435721) | |
| Enumeration Date | 2007-10-25 |
| Last Update Date | 2026-02-25 |