| NPI | 1154597458 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: TN 48130) |
| Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: TN 48130) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2008-05-06 |
| Last Update Date | 2022-03-22 |