| NPI | 1316355662 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RH0000X Internal Medicine, Hematology (Licence: VA 0101277059) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NJ 25MA10109300) |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: VA 0101277059) | |
| Enumeration Date | 2014-07-31 |
| Last Update Date | 2023-04-10 |