| NPI | 1841599107 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine Medical Oncology (Licence: CA A122178) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: CA A122178) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2011-03-24 |
| Last Update Date | 2021-12-08 |