NPI | 1699115824 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NM MD2019-1033) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX V0863) |
207RH0003X Internal Medicine, Hematology & Oncology (Licence: TX V0863) | |
207RX0202X Internal Medicine, Medical Oncology (Licence: TX V0863) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2013-07-02 |
Last Update Date | 2024-07-10 |