| NPI | 1902003403 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine Hematology & Oncology (Licence: GA 069784) |
| Additional Taxonomies | 207RH0003X Internal Medicine Hematology & Oncology (Licence: GA 69784) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2007-06-28 |
| Last Update Date | 2021-02-25 |