| NPI | 1598736597 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: GA 55545)  | 
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: IN 01071599A)  | 
| Enumeration Date | 2006-01-28 | 
| Last Update Date | 2021-06-30 |