NPI | 1063854586 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101266367) |
Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: VA 0101266367) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2013-07-25 |
Last Update Date | 2024-04-11 |