| NPI | 1700071008 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: TX Q7247) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MO 2017037295) |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: NM MD2014-0044) | |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: MS 24239) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2007-09-10 |
| Last Update Date | 2025-10-28 |