NPI | 1134548761 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: FL ME131947) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME131947) |
207RH0000X Internal Medicine, Hematology (Licence: FL ME131947) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2014-04-10 |
Last Update Date | 2021-08-11 |