NPI | 1699208074 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0003X Internal Medicine Hematology & Oncology (Licence: NJ 25MA11754600) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 315346) |
390200000X Student in an Organized Health Care Education/Training Program (Licence: NY 592275383) | |
Enumeration Date | 2017-04-04 |
Last Update Date | 2023-08-14 |