| NPI | 1558772889 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RH0000X Internal Medicine, Hematology (Licence: OR MD199507) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OR MD199507) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: OR MD199507) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2014-05-08 |
| Last Update Date | 2024-09-11 |