| NPI | 1326525114 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: IL 036.166353) |
| Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: IA 52707) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4351047392) | |
| Enumeration Date | 2018-07-24 |
| Last Update Date | 2024-05-24 |