| NPI | 1407112162 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0000X Internal Medicine Hematology (Licence: MI 4301107032) |
| Additional Taxonomies | 207RH0003X Internal Medicine Hematology & Oncology (Licence: MI 4301107032) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2012-04-06 |
| Last Update Date | 2019-04-09 |