| 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 |