| NPI | 1609039148 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RX0202X Internal Medicine Medical Oncology (Licence: IN 01080171A) |
| Additional Taxonomies | 207RX0202X Internal Medicine Medical Oncology (Licence: LA 305097) |
| Enumeration Date | 2008-07-03 |
| Last Update Date | 2021-07-06 |