| NPI | 1871948125 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME157835) |
| Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: FL ME157835) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-04-24 |
| Last Update Date | 2022-08-15 |