NPI | 1588019749 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: PA OS023404) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL OS15531) |
207RH0003X Internal Medicine, Hematology & Oncology (Licence: NY 319139) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2016-04-25 |
Last Update Date | 2024-02-21 |