| NPI | 1598144917 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0000X Internal Medicine, Hematology (Licence: MO 2021011406) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35.134016) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2015-05-19 |
| Last Update Date | 2021-07-26 |