| NPI | 1033568795 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: TX S2815) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX S2815) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-06-03 |
| Last Update Date | 2023-05-23 |