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 |