| NPI | 1124413430 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine Medical Oncology (Licence: CO DR.0065500) |
| Additional Taxonomies | 207RH0003X Internal Medicine Hematology & Oncology (Licence: CO TL.0006948) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2015-04-02 |
| Last Update Date | 2021-09-21 |