| NPI | 1154429892 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NJ 25MA08423100) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: DE C10009092) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: PA md425678) | |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2020-07-30 |