| NPI | 1770581662 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine Hematology & Oncology (Licence: TN 30833) |
| Additional Taxonomies | 207RH0003X Internal Medicine Hematology & Oncology (Licence: MS 17589) |
| 207RH0003X Internal Medicine Hematology & Oncology (Licence: AR E-3381) | |
| Enumeration Date | 2005-07-13 |
| Last Update Date | 2021-06-23 |