| NPI | 1720242704 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: CA C170297) |
| Additional Taxonomies | 207RH0000X Internal Medicine, Hematology (Licence: IN 01092318A) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: FL ME114963) | |
| Enumeration Date | 2008-07-18 |
| Last Update Date | 2024-02-02 |