| NPI | 1659093631 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: FL TRN38952) |
| Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: FL TRN38952) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: VA 0116036170) | |
| Enumeration Date | 2022-09-15 |
| Last Update Date | 2024-09-10 |