NPI | 1083964878 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: FL ME145286) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ NJ Permit) |
207R00000X Internal Medicine (Licence: FL ME145286) | |
Enumeration Date | 2012-09-19 |
Last Update Date | 2024-02-06 |