| NPI | 1376905497 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: ID M-16598) |
| Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: UT 1376905497) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-03-28 |
| Last Update Date | 2022-10-25 |