| NPI | 1558301267 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: OH 35080121) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: IN 01062087A) |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2015-11-06 |