| NPI | 1467830489 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: MI 4301505132) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: CA A154195) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4301107223) | |
| Enumeration Date | 2015-05-11 |
| Last Update Date | 2024-12-31 |