NPI | 1629465554 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: OR MD209881) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: PA MD464433) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2015-04-17 |
Last Update Date | 2022-12-29 |