| NPI | 1447755830 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: FL OS16279) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL OS16279) |
| 208D00000X General Practice (Licence: FL OS16279) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2018-03-27 |
| Last Update Date | 2022-09-26 |