NPI | 1235665571 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: CT 65338) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: CT 65338) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2017-05-05 |
Last Update Date | 2021-05-13 |