| NPI | 1306913033 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine Hematology & Oncology (Licence: PA OS006594L) |
| Additional Taxonomies | 207RH0003X Internal Medicine Hematology & Oncology (Licence: NJ 25MB10079700) |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2018-11-02 |