NPI | 1861071367 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RH0003X Internal Medicine Hematology & Oncology (Licence: TX V0806) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX V0806) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2021-04-03 |
Last Update Date | 2024-07-01 |