NPI | 1417470832 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: TN 66917) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN 66917) |
207RH0000X Internal Medicine, Hematology (Licence: TN 66917) | |
207RX0202X Internal Medicine, Medical Oncology (Licence: TN 66917) | |
Enumeration Date | 2017-07-18 |
Last Update Date | 2025-03-20 |