| NPI | 1760415608 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MS 13608) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: AR E3440) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: TN 24391) | |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2021-06-23 |