| NPI | 1710329487 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AR E-14403) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: AR E-14403) |
| 207R00000X Internal Medicine (Licence: PA MT204143) | |
| Enumeration Date | 2013-07-23 |
| Last Update Date | 2021-08-18 |