| NPI | 1801046867 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: CA A112439) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: IN 01098101A) |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: IN 01098101A) | |
| 282N00000X General Acute Care Hospital (Licence: MO 2008014384) | |
| 207RH0000X Internal Medicine, Hematology (Licence: IN 01098101A) | |
| 207R00000X Internal Medicine (Licence: IN 01098101A) | |
| Enumeration Date | 2008-09-26 |
| Last Update Date | 2025-10-24 |