| 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 |