NPI | 1275952947 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME132227) |
Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: FL ME132227) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2014-04-10 |
Last Update Date | 2023-01-12 |