| NPI | 1164581534 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0000X Internal Medicine Hematology (Licence: NJ MA34649) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ MA034649) |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2010-07-08 |