| NPI | 1730568403 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine Hematology & Oncology (Licence: ME MD27166) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL TRN22114) |
| 207RX0202X Internal Medicine Medical Oncology (Licence: FL ME140077) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2015-05-27 |
| Last Update Date | 2023-07-03 |