| NPI | 1992709471 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine Medical Oncology (Licence: OR MD208228) |
| Additional Taxonomies | 207RH0003X Internal Medicine Hematology & Oncology (Licence: IN 01058135A) |
| 207RH0003X Internal Medicine Hematology & Oncology (Licence: WI 84386) | |
| 207RH0003X Internal Medicine Hematology & Oncology (Licence: MI 4301082714) | |
| 207RX0202X Internal Medicine Medical Oncology (Licence: IN 01058135A) | |
| Enumeration Date | 2005-06-13 |
| Last Update Date | 2024-07-30 |