| NPI | 1750776985 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0000X Internal Medicine Hematology (Licence: MI 4301507424) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A149914) |
| 207R00000X Internal Medicine (Licence: MI 4301507424) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA A149914) | |
| Enumeration Date | 2015-04-03 |
| Last Update Date | 2023-09-29 |