| NPI | 1225618382 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA OS023997) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AL DO.3028) |
| 207RH0003X Internal Medicine Hematology & Oncology (Licence: PA OT023390) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2021-04-13 |
| Last Update Date | 2024-09-26 |