| NPI | 1114248002 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NJ 25MA11388100) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT211663) |
| Enumeration Date | 2010-06-15 |
| Last Update Date | 2023-05-20 |