| NPI | 1033385877 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NJ 25MA09127500) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 229573) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: PA MD438346) | |
| Enumeration Date | 2008-05-01 |
| Last Update Date | 2012-07-25 |