NPI | 1124540232 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NE 35560) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: SD 12066) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2017-07-10 |
Last Update Date | 2023-08-09 |