NPI | 1982932083 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RH0003X Internal Medicine Hematology & Oncology (Licence: MO 2016013265) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2013023004) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2009-12-01 |
Last Update Date | 2023-06-09 |