| NPI | 1851970263 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: IL 036.170350) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.077549) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2021-04-04 |
| Last Update Date | 2024-07-25 |