NPI | 1871026104 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: IL 036.156133) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
207R00000X Internal Medicine (Licence: OH 35.138862) | |
Enumeration Date | 2017-04-04 |
Last Update Date | 2021-06-14 |