| NPI | 1447830724 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: CA A193889) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: CA A193889) | |
| Enumeration Date | 2021-04-12 |
| Last Update Date | 2025-12-12 |