| NPI | 1417900374 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: TN 40971) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MS 19463) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: AR E5839) | |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2021-06-23 |