| NPI | 1902301716 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine Hematology & Oncology (Licence: VA 0116039061) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: IN 01089777A) |
| 207RP1001X Internal Medicine Pulmonary Disease (Licence: IN 01089777A) | |
| Enumeration Date | 2018-03-26 |
| Last Update Date | 2024-07-03 |