NPI | 1881334399 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: NY 336387-01) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2022-03-31 |
Last Update Date | 2025-08-13 |