| NPI | 1871756163 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: IA MD. 41850) |
| Additional Taxonomies | 207RH0000X Internal Medicine, Hematology (Licence: GA 070801) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2008-07-07 |
| Last Update Date | 2014-06-25 |