| NPI | 1881857019 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: ND 21785) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 55437) |
| 207R00000X Internal Medicine (Licence: MT 60620) | |
| 207RH0000X Internal Medicine, Hematology (Licence: MT 60620) | |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: MT 60620) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2008-07-08 |
| Last Update Date | 2025-02-21 |