| NPI | 1396856506 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: IN 01050249A)  | 
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: KY 42108)  | 
| Enumeration Date | 2006-08-31 | 
| Last Update Date | 2025-10-17 |