| NPI | 1730372871 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 233671) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: PA md472946) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: IN 01064011A) | |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MA 233671) | |
| Enumeration Date | 2007-08-22 |
| Last Update Date | 2024-07-29 |