| NPI | 1093072944 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD454989) |
| Additional Taxonomies | 207RH0000X Internal Medicine, Hematology (Licence: PA MD454989) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2012-04-17 |
| Last Update Date | 2019-06-20 |