| NPI | 1134386196 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine Hematology & Oncology (Licence: MN 56240) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 56240) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2008-05-19 |
| Last Update Date | 2020-10-29 |