NPI | 1053603340 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: NY 277313) |
Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NJ 25MA09554400) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2011-05-05 |
Last Update Date | 2024-09-17 |