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 |