| NPI | 1053473983 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: PA MD424888) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: PA MT179888) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NJ MA76765) | |
| Enumeration Date | 2006-12-15 |
| Last Update Date | 2017-12-26 |