| NPI | 1548668148 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: IL 036142341) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01085436A) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: IN 01085436A) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: IL 125.066101) | |
| Enumeration Date | 2014-12-12 |
| Last Update Date | 2022-10-21 |