| NPI | 1396772117 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: GA 036492) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: SC 17165) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: IN 01089642A) | |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: IN 01089642A) | |
| Enumeration Date | 2006-06-27 |
| Last Update Date | 2023-09-28 |