NPI | 1992113054 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: CO DR.0070300) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MA 260624) |
Enumeration Date | 2014-07-31 |
Last Update Date | 2023-04-15 |