| NPI | 1114244134 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: CA A154147) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: OR PG174063) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2010-04-29 |
| Last Update Date | 2023-03-08 |