| NPI | 1932587128 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine Medical Oncology (Licence: TN MD0000057391) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN MD0000057391) |
| 207RH0000X Internal Medicine Hematology (Licence: TN MD0000057391) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2015-05-08 |
| Last Update Date | 2021-07-15 |