| 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 |