| NPI | 1609398213 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: TN 67525) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: TN 0000067525) |
| 207R00000X Internal Medicine (Licence: TN 67525) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: TX BP10059578) | |
| Enumeration Date | 2017-07-14 |
| Last Update Date | 2024-10-11 |