| NPI | 1861729170 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: FL ME125067) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME125067) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: IN 01094009A) | |
| Enumeration Date | 2009-11-06 |
| Last Update Date | 2024-07-08 |