| NPI | 1952782021 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RH0003X Internal Medicine Hematology & Oncology (Licence: IN 01085289A) |
| Additional Taxonomies | 207RH0003X Internal Medicine Hematology & Oncology (Licence: IL 036.145254) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: IN 11018429A) | |
| Enumeration Date | 2015-06-15 |
| Last Update Date | 2022-10-14 |