NPI | 1730612482 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: NC 2024-02197) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
207RH0003X Internal Medicine, Hematology & Oncology (Licence: AL 37756) | |
Enumeration Date | 2017-04-10 |
Last Update Date | 2024-08-21 |