| NPI | 1053345629 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine Hematology & Oncology (Licence: NJ 25MA06728200) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 221447) |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2018-03-29 |