| NPI | 1851697536 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine Hematology & Oncology (Licence: IN 01072867A) |
| Additional Taxonomies | 207RH0003X Internal Medicine Hematology & Oncology (Licence: NE 26055) |
| Enumeration Date | 2011-01-28 |
| Last Update Date | 2014-08-08 |