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 |