NPI | 1326433244 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: CA A144746) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A144746) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2015-03-30 |
Last Update Date | 2020-05-26 |