| NPI | 1477903177 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0000X Internal Medicine Hematology (Licence: NC 2023-00650) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2023-00650) |
| 207RH0003X Internal Medicine Hematology & Oncology (Licence: NC 2023-00650) | |
| 207RX0202X Internal Medicine Medical Oncology (Licence: NC 2023-00650) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: NC 2023-00650) | |
| Enumeration Date | 2016-06-14 |
| Last Update Date | 2024-07-15 |