NPI | 1942356530 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: CO 47443) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CO 47443) |
390200000X Student in an Organized Health Care Education/Training Program (Licence: CO TL-1926) | |
Enumeration Date | 2007-01-26 |
Last Update Date | 2021-06-19 |