| NPI | 1124089719 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NJ MA061795) |
| Additional Taxonomies | 174400000X Specialist (Licence: NJ MA61795) |
| Enumeration Date | 2006-03-31 |
| Last Update Date | 2008-12-01 |