| 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 | 2025-09-02 |