NPI | 1942620216 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RX0202X Internal Medicine Medical Oncology (Licence: TX S9009) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: LA 309017) |
207RH0003X Internal Medicine Hematology & Oncology (Licence: TX S9009) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2014-04-24 |
Last Update Date | 2023-04-25 |