NPI | 1700302163 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 01089523A) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301113553) |
207RH0003X Internal Medicine, Hematology & Oncology (Licence: IN 01089523A) | |
Enumeration Date | 2017-08-17 |
Last Update Date | 2023-09-09 |