| NPI | 1609863380 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: IN 01083275A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI MD11101) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: RI MD11101) | |
| Enumeration Date | 2005-09-29 |
| Last Update Date | 2023-08-23 |