| NPI | 1619222544 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: IN 01083833A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01083833A) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: TX T9193) | |
| Enumeration Date | 2012-07-17 |
| Last Update Date | 2025-12-21 |