| NPI | 1740507706 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: TN 64144) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NE 29283) |
| 207RH0000X Internal Medicine, Hematology (Licence: NE 29283) | |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NE 29283) | |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: NE 29283) | |
| Enumeration Date | 2010-04-29 |
| Last Update Date | 2022-03-22 |