NPI | 1609262781 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: PR 21185) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: PR 021185) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2015-04-15 |
Last Update Date | 2022-07-04 |