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 |