| NPI | 1841555083 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: GA 101736) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: VT 042-0014353) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: IN 11016633A) | |
| Enumeration Date | 2012-07-12 |
| Last Update Date | 2024-09-10 |