NPI | 1114910262 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0000X Internal Medicine, Hematology (Licence: NJ 25MA02156300) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA02156300) |
207R00000X Internal Medicine (Licence: PA MD010041E) | |
207RH0000X Internal Medicine, Hematology (Licence: PA MD010041E) | |
Enumeration Date | 2005-08-24 |
Last Update Date | 2008-06-12 |