NPI | 1265872196 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: MN 60616) |
Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MN 60616) |
207RH0000X Internal Medicine, Hematology (Licence: MN 60616) | |
390200000X Student in an Organized Health Care Education/Training Program (Licence: TX BP10047928) | |
Enumeration Date | 2013-06-25 |
Last Update Date | 2019-06-11 |