| NPI | 1285894121 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: LA MD.203934) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: LA MD.203934) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NY 269577) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2008-06-13 |
| Last Update Date | 2018-12-18 |