| NPI | 1750607115 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: CO DR.0056723) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CO 0056723) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2010-04-10 |
| Last Update Date | 2021-06-22 |