| NPI | 1407418213 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RH0000X Internal Medicine, Hematology (Licence: GA 111145) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: IN 11020775A) |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: GA 111145) | |
| 207R00000X Internal Medicine (Licence: GA 111145) | |
| Enumeration Date | 2019-07-01 |
| Last Update Date | 2026-07-06 |