| NPI | 1093949224 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NJ 25MA08567700) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 240296) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NY 240296) | |
| Enumeration Date | 2009-05-01 |
| Last Update Date | 2023-05-22 |