| NPI | 1235660564 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: AR E-13315) |
| Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: AR E-13315) |
| Enumeration Date | 2017-03-27 |
| Last Update Date | 2024-03-28 |