| NPI | 1669705471 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: PA MD483154) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OR MD156676) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: IL 036139635) | |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: WA MD61401431) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: IL 4048606) | |
| Enumeration Date | 2009-09-10 |
| Last Update Date | 2023-11-08 |