| NPI | 1932519188 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: IN 01076297A) |
| Additional Taxonomies | 171000000X Military Health Care Provider (Licence: IN 01076297A) |
| 207R00000X Internal Medicine (Licence: IN 01076297A) | |
| Enumeration Date | 2014-04-28 |
| Last Update Date | 2022-01-13 |