NPI | 1467919001 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: GA 103955) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX S8403) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2019-03-01 |
Last Update Date | 2025-05-12 |