| NPI | 1770872632 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0000X Internal Medicine, Hematology (Licence: CA A122044) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA E2515944) |
| Enumeration Date | 2011-03-31 |
| Last Update Date | 2016-11-29 |