| NPI | 1417202326 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: KY 59669) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: IN 01093890A) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: TN 54970) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: IN 11016815a) | |
| Enumeration Date | 2012-07-17 |
| Last Update Date | 2024-09-18 |