| NPI | 1609135797 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine Hematology & Oncology (Licence: AR E-11865) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AR E-11865) |
| 207R00000X Internal Medicine (Licence: PA MD455432) | |
| Enumeration Date | 2012-05-09 |
| Last Update Date | 2024-05-30 |