| NPI | 1285953158 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0000X Internal Medicine, Hematology (Licence: FL ME161180) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: PA MD448504) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NJ 25MA10501800) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2010-05-18 |
| Last Update Date | 2023-05-17 |