NPI | 1922365477 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RX0202X Internal Medicine Medical Oncology (Licence: FL ME135929) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD P27589) |
207RH0003X Internal Medicine Hematology & Oncology (Licence: FL ME135929) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2012-04-20 |
Last Update Date | 2024-05-08 |