| NPI | 1740677954 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: ID M-16595) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: ID M-16595) |
| 207R00000X Internal Medicine (Licence: VA 0101264372) | |
| Enumeration Date | 2015-04-26 |
| Last Update Date | 2022-08-16 |