| 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 |