| NPI | 1306007505 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: NJ 25MA10344300) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA10344300) |
| 207RH0000X Internal Medicine, Hematology (Licence: NJ 25MA10344300) | |
| 207RH0000X Internal Medicine, Hematology (Licence: PA MD443799) | |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: PA MD443799) | |
| Enumeration Date | 2008-06-19 |
| Last Update Date | 2024-05-03 |