NPI | 1982282331 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: TX U9267) |
Enumeration Date | 2021-03-29 |
Last Update Date | 2024-02-18 |