| NPI | 1285084558 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: FL ME166540) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX T4791) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: KY 52311) | |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: TX T4791) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: KY 52311) | |
| Enumeration Date | 2016-06-17 |
| Last Update Date | 2024-04-15 |