| NPI | 1871939371 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: VA 0101269214) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101269214) |
| 207R00000X Internal Medicine (Licence: NY 277375) | |
| 207RH0000X Internal Medicine, Hematology (Licence: VA 0101269214) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2013-05-12 |
| Last Update Date | 2021-10-13 |