| NPI | 1750796611 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine Hematology & Oncology (Licence: IN 01083055A) |
| Additional Taxonomies | 207RH0003X Internal Medicine Hematology & Oncology (Licence: KY 50094) |
| Enumeration Date | 2014-06-30 |
| Last Update Date | 2020-08-11 |