| NPI | 1922485986 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine Hematology & Oncology (Licence: NC 2021-01948) |
| Additional Taxonomies | 207RH0003X Internal Medicine Hematology & Oncology (Licence: MO 2018013143) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2015-04-29 |
| Last Update Date | 2022-10-25 |