| NPI | 1417398975 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: IN 01092534A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 296689) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: 63317) | |
| Enumeration Date | 2013-07-12 |
| Last Update Date | 2024-08-02 |