NPI | 1942681234 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0000X Internal Medicine, Hematology (Licence: MI 4301117492) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4301108045) |
Enumeration Date | 2015-06-12 |
Last Update Date | 2022-12-06 |