| NPI | 1558686915 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine Hematology & Oncology (Licence: TX Q0699) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101254622) |
| 207R00000X Internal Medicine (Licence: TX Q0699) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2010-03-29 |
| Last Update Date | 2018-03-17 |