| NPI | 1215145404 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: PA MD437419) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA08239700) |
| Enumeration Date | 2007-05-19 |
| Last Update Date | 2024-05-17 |