| NPI | 1700246394 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: VA 0101264008) |
| Additional Taxonomies | 208D00000X General Practice (Licence: VA 010264008) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-02-25 |
| Last Update Date | 2023-06-07 |