| NPI | 1659093631 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: LA 351008) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: VA 0116036170) |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: FL TRN38952) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: FL TRN38952) | |
| Enumeration Date | 2022-09-15 |
| Last Update Date | 2026-04-23 |