| NPI | 1023307782 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: CO DR.0058886) |
| Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: OR MD167434) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2011-04-04 |
| Last Update Date | 2021-03-29 |