NPI | 1891181590 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 309414) |
Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: RI MD18506) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2015-04-09 |
Last Update Date | 2022-06-09 |