| NPI | 1861525560 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: IN 01072351A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 50329) |
| 207R00000X Internal Medicine (Licence: TX M5477) | |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2023-12-04 |