| 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 |