| NPI | 1083823504 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: NJ 25MA10749900) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT186540) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: PA MD443308) | |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2020-02-05 |