| NPI | 1497276240 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: CT 82903) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: FL TRN25685) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MA 3013893) | |
| Enumeration Date | 2017-07-02 |
| Last Update Date | 2025-11-24 |