| NPI | 1831683002 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: VA 0101281612) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NC RTL21-0221) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4301114634) | |
| Enumeration Date | 2018-06-20 |
| Last Update Date | 2024-08-05 |