NPI | 1982725180 |
---|---|
Former Name | VIJAY RAO PHOOSHKOORU |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: SD 12270) |
Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: ND 10514) |
Enumeration Date | 2007-04-03 |
Last Update Date | 2021-06-10 |