| NPI | 1508809252 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: IN 01090600A) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MI 4301030881) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: ID MC-0528) | |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2023-10-26 |