| NPI | 1700246394 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: VA 0101264008) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN 72143) |
| 207RH0000X Internal Medicine, Hematology (Licence: TN 72143) | |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: TN 72143) | |
| 208D00000X General Practice (Licence: VA 010264008) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-02-25 |
| Last Update Date | 2024-12-10 |