NPI | 1447614110 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: WA OP61212767) |
Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: KY 04511) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2016-04-08 |
Last Update Date | 2022-07-05 |