NPI | 1962880880 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: VA 0101274455) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME136608) |
207RH0000X Internal Medicine, Hematology (Licence: VA 0101274455) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2015-05-12 |
Last Update Date | 2023-08-11 |