NPI | 1780146290 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: TN 6154) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN 6154) |
Enumeration Date | 2019-04-03 |
Last Update Date | 2025-07-25 |