NPI | 1265927263 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RH0000X Internal Medicine, Hematology (Licence: NY 318117) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2018-06-22 |
Last Update Date | 2024-07-20 |