NPI | 1841603636 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: TX S6442) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX S6442) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2014-06-09 |
Last Update Date | 2023-01-04 |