| NPI | 1750817854 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: PA MD480113) |
| Additional Taxonomies | 207RH0000X Internal Medicine, Hematology (Licence: IN 01096802A) |
| 207R00000X Internal Medicine (Licence: IN 01096802A) | |
| Enumeration Date | 2017-05-10 |
| Last Update Date | 2025-08-01 |