NPI | 1083904197 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: FL ME128271) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME128271) |
207RH0003X Internal Medicine, Hematology & Oncology (Licence: FL ME128271) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2011-04-10 |
Last Update Date | 2019-10-07 |