| NPI | 1699022525 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: IN 01081674A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD P27587) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: KY 49062) | |
| Enumeration Date | 2012-08-09 |
| Last Update Date | 2024-08-29 |