NPI | 1194342576 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MO 2024025374) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: KS 9410459) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2020-07-01 |
Last Update Date | 2024-07-22 |