| NPI | 1922448075 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RH0003X Internal Medicine Hematology & Oncology (Licence: AR E-12889) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 255845) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2013-07-02 |
| Last Update Date | 2020-08-10 |