| NPI | 1679734891 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine Hematology & Oncology (Licence: CA C177562) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 11014305A) |
| 207RH0003X Internal Medicine Hematology & Oncology (Licence: IN 01068675A) | |
| Enumeration Date | 2008-06-19 |
| Last Update Date | 2022-08-03 |