| NPI | 1457442832 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: IN 01062606A) | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA 01062606A) | 
| Enumeration Date | 2006-09-28 | 
| Last Update Date | 2020-11-20 |