| NPI | 1093031668 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: CA 20A11921) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA 20A11921) |
| 207RH0000X Internal Medicine, Hematology (Licence: OR DO183890) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2010-04-08 |
| Last Update Date | 2023-09-18 |