| NPI | 1770930588 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: MA 277784) |
| Additional Taxonomies | 207RH0000X Internal Medicine, Hematology (Licence: MA 277784) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MA 268191) | |
| Enumeration Date | 2016-05-21 |
| Last Update Date | 2023-03-03 |