NPI | 1639586506 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0000X Internal Medicine, Hematology (Licence: IN 01096309A) |
Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MO 2018013793) |
Enumeration Date | 2014-07-12 |
Last Update Date | 2025-07-02 |