| NPI | 1265936702 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: RI MD18566) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: RI MD18566) |
| Enumeration Date | 2018-03-20 |
| Last Update Date | 2025-07-31 |