| NPI | 1447612080 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine Hematology & Oncology (Licence: CA A176734) |
| Additional Taxonomies | 207RH0003X Internal Medicine Hematology & Oncology (Licence: OK 34879) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-03-23 |
| Last Update Date | 2022-03-25 |