| NPI | 1568787570 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0000X Internal Medicine, Hematology (Licence: TN 59867) |
| Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: TN 59867) |
| 207RH0000X Internal Medicine, Hematology (Licence: CT 55393) | |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: CT 55393) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2010-04-01 |
| Last Update Date | 2022-03-23 |