NPI | 1114995941 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NJ 25MA03353000) |
Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NJ MA33530) |
Enumeration Date | 2006-03-09 |
Last Update Date | 2016-04-05 |