| NPI | 1427162288 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 01066512A) |
| Additional Taxonomies | 207RH0000X Internal Medicine, Hematology (Licence: IN 01066512A) |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2021-01-11 |