| NPI | 1780870428 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: IL 036151765) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: AL 47426) |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: PA MD449281) | |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: NM MD2015-0521) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2007-09-17 |
| Last Update Date | 2024-01-31 |