| NPI | 1598430043 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0000X Internal Medicine, Hematology (Licence: TX 47997) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX 47997) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2021-08-16 |
| Last Update Date | 2023-06-23 |