| NPI | 1992311211 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: MA 287143) |
| Additional Taxonomies | 207RH0000X Internal Medicine, Hematology (Licence: MA 287143) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2020-09-22 |
| Last Update Date | 2023-03-06 |