| NPI | 1306672365 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: TX BP10087611) |
| Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: TX 49132) |
| Enumeration Date | 2024-09-09 |
| Last Update Date | 2026-08-13 |