| NPI | 1407033376 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: TN 58064) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: GA 066390) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MD D0066141) | |
| Enumeration Date | 2008-01-23 |
| Last Update Date | 2019-01-02 |